HomeMy WebLinkAboutexhibit13AFFIDAVIT
City of Miami
Department of Law ;'
'444 S.W. 2 Avenue, 9ei Floor
Miami. Florida 33130 /'
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TO WHOM IT MAY CONCERN:
This is to certify that _
is authorized to make and sign contracts. bonds and agreements by or on behalf of
(Name of Entity)
--Name end Title of Affidavit
Narr3e Of Entity
-7)kddress of Entity
SWORN TO AND SUBSCRIBED
Before me this • day'
of 20 i
NOTARY PUBLIC, State of Florida at Large
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My Commission Expires:
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(o BE USED ONLY IF BIDDER IS A PARTNERSHIP OR DOES BUSINESS UNDER
FICTITIOUS NAME)
Rev. 6/97
Department of Public Works
AFFIDAVIT
(Certifying compliance with Section 4
(c) of the Charter of the City of Miami)
STATE OF FLORIDA ) SS
COUNTY OF BROWARD )
Before me, the andersigned authority, authorized to administer oaths and take acknowledgments.
personally appeared Sheldon McCartney
who, after being first duly sworn upon oath deposes and says that to the best of his knowledge and belief
no Commissioner, Mayor or other officer or employee of the City of Miami, Florida. is interested, directly
or indirectly, in the profits or emoluments of the contracts, job, work or service for the City of
Miami in connection with the contract, construction and/or purchase of
SIGNED
Siened. sealed and
deliveres,iryfne .pres
(SEAL)
SWORN AND SUBSCRIBED TO BEFORE ME this 13 day of August 2002
Form PW #109 12/2001
Notary Public, State of Florida at i ige
My Commission Expires
O"I,PnY PU49, OFFICIALHEIDI L ZUCKER
2 CI
t * CQMMISS1oN NUMBER
r
1V +.10.041
9' " bp� Mr COMM:SSON EXPIRES
�dF F� SEP'. 16,2004
PUBLIC ENTITY CRIME PROCEDURES
(a) Definition. Public Entity Crime (PEC) is defined as a violation of State or
Federal Law by a person or Persons transacting business with a public entity
as stated in Chapter 89-114, Laws of Fiorida.
(b) Policy. No bids shall be awarded to a vendor convicted of a Public Entity
Crime in excess of $10,000.00 for a period of thirty-six (36) months
commencing from the date said vendor was placed on the State of Florida
disqualified list.
A Public Entity Crime Affidavit shall be obtained from the successful bidder
prior to the final execution of a Public Works contract with the City of Miami.
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