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Bid No. 2019005/IRC-1760 <br /> x 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 /> e_a.s(ct <br /> (Signature) <br /> (Date) <br /> STATE OF Florida <br /> COUNTY OF Indian River <br /> The foregoing instrument was acknowledged before'me this 19th day of September , 2018 , by_ <br /> Ben Guettler , who is personally known to me or who has produced <br /> as identification. <br /> / NOTARY PUBLIC <br /> SIGN: /J Q.fGx- <br /> PRINT: Sharon M. Morris <br /> Notary Public, State at large <br /> My Commission Expires: 7/31/2022 <br /> (Seal) <br /> ro ctar Fie <br /> , SHARON M.MORRIS <br /> * ?,�,o * Commission#GG 233422 <br /> 7 Expires July 31,2022 <br /> 14,0,roc- Bonded Thru Budget Notary Santee <br /> Page 18 of 39 <br />