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Bid No. 2018043/IRC-1523 <br />entity, have any relationships as defined in section 105.08, Indian River County Code, with any <br />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 />Name of Affiliate <br />or entity <br />STATE OF Florida <br />COUNTY OF Indian River <br />Name of County Commissioner <br />or employee <br />Relationship <br />(Signature) <br />03/27/18 <br />(Date) <br />The foregoing instrument was acknowledged before me this 27th day of March , 2048__, by <br />Timothy Rose , who is personally known to me or who has produced <br />as identification. <br />NOTARY PUBLIC <br />fX,,✓AORAH WEST 5 SIGN: 1 .�11"•� � <br />. ;rt N1%, MMISSION # FF904578 <br />r",ZES: October 03, 2019 <br />cpr- <br />��� 0.4FV.h~"' 1V � f kvA,11 R, PRINT: Deborah West <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />Page 17 of 37 <br />