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2018-168A
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2018-168A
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Last modified
1/4/2021 11:08:59 AM
Creation date
10/15/2018 3:58:30 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
09/11/2018
Control Number
2018-168A
Agenda Item Number
8.W.
Entity Name
Southern Coatings, Inc.
Subject
West Wastewater Treatment Plant Roof Replacement
Area
8405 8th Street
Project Number
IRC-1803
Bid Number
2018074
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Bid No. 2018074/IRC-1803 <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 Name of County Commissioner Relationship <br />or entity or employee <br />N/A <br />(Signature <br />8/12/18 <br />(Date) <br />STATE OF Florida <br />COUNTY OF . Broward <br />The foregoing instrument was acknowledged before me this `'b day of 20, by_ <br />whoIs personally known tine or who has produced <br />as identification. <br />NOTARY PUBLIC <br />SI G N: 01IL142 4 "'00 v <br />PRINT: ekeaj Du AkA-J <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />CHERYL DUNCAN <br />Page 18 of 34 _ ANY COMMISSION # GG033600 <br />EXPIRES September 26, 2020 <br />
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