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SWORN STATEMENT UNDER SECTION 105. 08, INDIAN RIVER COUNTY CODE, ON <br /> ' DISCLOSURE OF RELATIONSHIPS <br /> THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER <br /> ' OFFICER AUTHORIZED TO ADMINISTER OATHS . <br /> 1 . This sworn statement is submitted with Bid, Proposal or Contract No . 6079 for <br /> Security Fencing for South County RO Plant <br /> 2 . This sworn statement is submitted by: NATIONS FENCE , INC . <br /> (Name of entity submitting Statement) <br /> whose business address is : <br /> 4640 NORTH USI MELBOURNE, FLORIDA 32935 and (if <br /> applicable) its Federal Employer Identification Number (FEIN) is 52-2201 - 638 (If the entity has <br /> ' no FEIN, include the Social Security Number of the individual signing this sworn statement <br /> . ) <br /> 3 . My name is MAURICE PEZONE <br /> (Please print name of individual signing) <br /> and my relationship to the entity named above is INDUSTRIAL SALES <br /> 4 . I understand that an "affiliate" as defined in Section 105 . 08 , Indian River County Code, <br /> ' means : The term "affiliate" includes those officers, directors , executives, partners , <br /> shareholders , employees , members , and agents who are active in the management of the <br /> ' entity. <br /> 5 . I understand that the relationship with a County Commissioner or County employee that must <br /> ' be disclosed as follows : <br /> Father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew, niece, <br /> ' husband, wife, father-in- law, mother-in-law, daughter-in- law, son-in- law, brother-in- law , <br /> sister-in-law, stepfather, stepmother, stepson, stepdaughter, stepbrother, stepsister, half <br /> brother, half sister, grandparent, or grandchild . <br /> ' 6 . Based on information and belief, the statement, which I have marked below, is true in relation <br /> to the entity submitting this sworn statement . [Please indicate which statement applies . ] <br /> ' X Neither the entity submitting this sworn statement, nor any officers , directors , <br /> executives, partners , shareholders , employees, members , or agents who are active in <br /> ' management of the entity, have any relationships as defined in section 105 . 08 , Indian River <br /> County Code, with any County Commissioner or County employee . <br /> The entity submitting this sworn statement, or one or more of the officers, directors , <br /> executives, partners , shareholders , employees , members , or agents , who are active in <br /> management of the entity have the following relationships with a County Commissioner or <br /> County employee : <br /> ' Page 36 of 52 <br />