Laserfiche WebLink
O4 SUNNY ,S4�sm <br />� F <br />FI.O F\ St <br />OF SUN PCO <br />STATE OF FLORIDA ) <br />COUNTY OF Miami -Dade ) <br />ANTI-KICKBAC <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />ANTI -KICKBACK AFFIDAVIT <br />I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid <br />will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a <br />commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or <br />by an officer of the corporation. <br />By: <br />Title:stimator <br />The foregoing instrument was acknowledged before me this 20 day of <br />April 20 18 by Jesenia Otero Fname <br />of person], as Estimator <br />Superior Landscaping & Lawn Service, Inc. [name <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />E3UMGERDTS <br />Notary Public - State of Florida <br />Commission a GG 190486 <br />My Comm. Expires Mar 28, 2022 <br />Bonded through National Notary Assn. <br />[type of authority], for <br />of party on behalf of whom instrument was <br />t Public State of Florida <br />TNR CE�ms <br />Print or Type Commissioned Name <br />Personally Known y OR Produced Identification <br />Type of Identification Produced <br />7of10 <br />