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Bid No. 2019016/IRC-1631 <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 Broward <br />Name of County Commissioner <br />or employee <br />Relationship <br />(Date) <br />The foregoing instrument was acknowledged before me this ? day of 20_, by_ <br />who.is personally known -to me or who has produced <br />as identification. <br />SIGN: <br />PRINT: <br />wise Mindy <br />_auny 25 2022 <br />`c< <br />Bell c -nded t`aty n -Marv, <br />�`Iilif{Il\\ <br />Page 20 of 45 <br />NOTARY PUBLIC <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />