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Craig A. Smith
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(18-08-01) Consulting Engineering Services for Golden Shores Utility Undergrounding and Roadway Improvements
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Craig A. Smith
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Last modified
9/6/2018 11:25:21 AM
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9/6/2018 11:16:12 AM
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SVNNY IS4F <br />f <br />o`` e <br />� F <br />C, <br />V I <br />r <br />yF 9y�' <br />C�rY OF SUN P��O <br />STATE OF FLORIDA <br />COUNTY OF Palm Beach <br />ANTI -KICKBACK <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 />Title: Senior Vice President <br />The foregoing instrument was acknowledged before me this 4th day of <br />September , 20 18 , by Stephen C. Smith [name <br />of person], as Senior Vice President (Officer) [type of authority], for <br />Craig A. Smith & Associates, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />Notary Public — Sta1W of Florida <br />EKiKl <br />tate OfFlodda Amanda J. Denton <br />ntonPrint or Type Commissioned Name <br />GG 06183821 <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 of 8 <br />293 <br />By: <br />Title: Senior Vice President <br />The foregoing instrument was acknowledged before me this 4th day of <br />September , 20 18 , by Stephen C. Smith [name <br />of person], as Senior Vice President (Officer) [type of authority], for <br />Craig A. Smith & Associates, Inc. [name of party on behalf of whom instrument was <br />executed]. <br />AFFIX NOTARY STAMP HERE: <br />Notary Public — Sta1W of Florida <br />EKiKl <br />tate OfFlodda Amanda J. Denton <br />ntonPrint or Type Commissioned Name <br />GG 06183821 <br />Personally Known X OR Produced Identification <br />Type of Identification Produced <br />DECEMBER 28, 2010 7 of 8 <br />293 <br />
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