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(18-03-03) Right-of-Ways and Facilities Landscape Maintenance Services
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Last modified
7/31/2018 3:39:13 PM
Creation date
4/25/2018 12:06:29 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Right-of-Ways and Facilities Landscape Maintenance Services
Bid No. (xx-xx-xx)
18-03-03
Project Type (Bid, RFP, RFQ)
Bid
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S1/4,pfNy,s4_ CONFLICT OF INTEREST <br /> OSB <br /> '_ ;:! City of Sunny Isles Beach <br /> • 18070 Collins Avenue T•- . Sunny Isles each,FL 33160 <br /> T •9r Telephone:(305)947-0606 Fax:(305)949-3113 <br /> SP91' \O <br /> FLOC 5 <br /> C/F OF SUN rN� <br /> CONFLICT OF INTEREST STATEMENT <br /> The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes. Proposers <br /> must disclose with their Bids,the name of any officer,director,partner,associate or agent who is also an officer or <br /> employee of the City of Sunny Isles Beach or its agencies. <br /> STATE OF FLORIDA <br /> COUNTY OF Miami-Dade <br /> BEFORE ME,the undersigned authority,personally appeared Christian Infante <br /> who was duly sworn,deposes,and states: <br /> 1. I am the President of SFM Services, Inc. with a local <br /> office in 9700 NW 79 Ave.Hialeah Gardens,FL 33016 _ and principal office <br /> in 9700 NW 79 Ave.Hialeah Gardens,FL 33016 <br /> 2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No. 18-03-03 <br /> described as Right-of-Ways and Facilities Landscape Maintenance Services . The Affiant has made diligent <br /> inquiry and provides the information contained in this Affidavit based upon his own knowledge. <br /> 3. The Affiant states that only one submittal for the above Bid is being submitted and that the above <br /> named entity has no financial interest in other entities submitting Bids for the same project. <br /> 410 4. Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, <br /> participated in any collusion,or otherwise taken any action in restraints of free competitive pricing in connection <br /> with the entity's submittal for the above Bid. This statement restricts the discussion of pricing data until the <br /> completion of negotiations if necessary and execution of the Contract for this project. <br /> 5. Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or <br /> otherwise ineligible from participation in contract letting by any local,State,or Federal Agency. <br /> 6. Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict <br /> of interest due to any other clients,contracts,or property interests for this project. <br /> 7. I certify that no member of the entity's ownership or management is presently applying for any <br /> employee position or actively seeking an elected position with the City of Sunny Isles Beach. <br /> 8. I certify that no member of the entity's ownership or management,or staff has a vested interest in any <br /> aspect of the City of Sunny Isles Beach. <br /> 9. In the event that a conflict of interest is identified in the provision of services, I,on behalf of the above <br /> named entity,will immediately notify the City of Sunny Isles Beach. <br /> • Dated this 17 day of April 2018 <br /> Christian Infante, President <br /> AFFIANT Print or Type Name and Title <br /> Sworn to and subscribed before me this 17 day of April 20 18 <br /> ® Personally Known,OR <br /> ® <br /> 0 Produced Identification-Typ- of Identif . ion NSA <br /> A My Commission FF 201617 <br /> NOTARY PUBLIC STATE OF FLORIDA` i o o.17- Expires 03/23/2019 <br /> 5 of 10 <br />
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