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II <br /> 04'SJNNY�heB <br /> 4 `:'-6 ANTI - KICKBACK <br /> • City of Sunny Isles Beach <br /> ', ,,,,T. 7!---- • 18070 Collins Avenue <br /> s, D,)•F LOS° .,.� Sunny Isles Beach,FL 33160 <br /> �r'�OF sus'''n- Telephone:(305)947-0606 Fax:(305)949-3113 <br /> Il <br /> ANTI-KICKBACK AFFIDAVIT <br /> Alabama <br /> 1 STATE OF FLORIDA ) <br /> ) <br /> COUNTY OF Mobile ) <br /> 11 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 /> I 44v%Z. .. .,1 <br /> By: <br /> ITitl : John Ramsay,President&CEO <br /> iThe foregoing instrument was acknowledged before me this 7th day of <br /> May , 2018 , by John Ramsay [name <br /> 1 of person], as President&CEO [type of authority], for <br /> CrowderGulf Joint Venture,Inc. [name of party on behalf of whom instrument was <br /> executed]. <br /> IIAFFIX NOTARY STAMP HERE: 'r ,P)V1/1-e,a--/ I I <br /> Kerrie Noll Notary Public— State of kia- Alabama <br /> �;, t Notary Publicc,,Moobile County,AL <br /> My Commission Expires Sept 12,2018 Kerrie A.Noll <br /> ._ Print or Type Commissioned Name <br /> I =Personally*novirr.x OR Produced Identification <br /> T/y e_of Identikation Produced <br /> •OR <br /> I <br /> 7 of 10 <br />