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SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
<br /> FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
<br /> THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
<br /> OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
<br /> 1. This sworn statement is submitted to sunny Isles Beach
<br /> by
<br /> Jose M. Alvarez, President [print name of the public entity]
<br /> [print individual's name and title)
<br /> for JVA Engineering Contractor, Inc.
<br /> [print name of entity submitting sworn statement)
<br /> whose business address is
<br /> 6600 NW 32nd Avenue
<br /> Miami, FL 33147
<br /> and (if applicable) its Federal Employer Identification Number(FEIN) is 48-1277685
<br /> (If the entity has no FEIN, include the Social Security Number of the individual signing this
<br /> sworn statement: .)
<br /> 2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes,
<br /> means a violation of any state or federal law by a person with respect to and directly related to
<br /> the transaction of business with any public entity or with an agency or political subdivision of
<br /> any other state or of the United States, including, but not limited to, any bid or contract for goods
<br /> or services to be provided to any public entity or an agency or political subdivision of any other
<br /> state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering,
<br /> conspiracy, or material misrepresentation.
<br /> 3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida
<br /> Statues, means a finding of guilt or a conviction of a public entity crime, with or without an
<br /> adjudication of guilt, in any federal or state trial court of record relating to charges brought by
<br /> indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of
<br /> a plea of guilty or nolo contendere.
<br /> 4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
<br /> 1. A predecessor or successor of a person convicted of a public entity crime; or
<br /> 2. An entity under the control of any natural person who is active in the management of the
<br /> entity and who has been convicted of a public entity crime. The term "affiliate" includes those
<br /> officers, directors, executives, partners, shareholders, employees, members, and agents who
<br /> are active in the management of an affiliate. The ownership by one person of shares
<br /> constituting a controlling interest in another person, or a pooling of equipment or income among
<br /> persons when not for fair market value under an arm's length agreement, shall be a prima fade
<br /> case that one person controls another person. A person who knowingly enters into a joint
<br /> venture with a person who has been convicted of a public entity crime in Florida during the
<br /> preceding 36 months shall be considered an affiliate.
<br /> 5. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means
<br /> any natural person or entity organized under the laws of any state or of the United States with
<br /> the legal power to enter into a binding contract and which bids or applies to bid on contracts for
<br /> the provision of goods or services let by a public entity, or which otherwise transacts or applies
<br /> to transact business with a public entity. The term "person" includes those officers, directors,
<br /> executives, partners, shareholders, employees, members, and agents who are active in
<br /> management of an entity.
<br /> 08/12 00402-1 11-4179
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