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The entity submitting this sworn statement, or one or more of the officers, directors, executives, <br />partners, shareholders, employees, members, or agents, who are active in management of the entity <br />have the following relationships with a County Commissioner or County employee: <br />Name of Affiliate <br />or entity <br />17 <br />STATE OF Lmt>A�- <br />COUNTY OF INCiNo av <br />Name of County Commissioner <br />or employee <br />Relationship <br />Manuel.A&gr <br />ignature) Corporate Vice President <br />6/2-1 J Vb <br />(Date) <br />The foregoing instrument was acknowledged before me this 23 day of ::Su..j ri,, .1 20 by <br />Manuel Aguiar who is personally known to me or who has produced <br />as identification. <br />NOTARY PUBLIC <br />SIGN: <br />PRINT: �Osv- L-bori <br />Notary Public, State at large <br />My Commission Expires: 11-4 /2-D27— <br />(Seal) t 2 Jean Jose Lem <br />NOTARY PUBLIC <br />--STATE OF FLORIDA <br />Comrn#GG172069 <br />Expires 1/2/2022 <br />00452-2 <br />F:\PublicWorks\ENGINEERING DIVISION PROJECTS\1305-CR 512 Resurf (SCOP)_Myrtle St to 125th St\Admim\bid docurnentsWaster Contract <br />Documents\00452 Disclosure of Relationships.doc <br />