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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 Name of County Commissioner Relationship <br />or entity or employee. <br />June 26, 2019 <br />STATE OF Florida <br />COUNTY OF Martin <br />The foregoing instrument was acknowledged before me this 26th day of June <br />Clecrff tGarieitit <br />who personally=lmown to ;tee <br />es-. <br />00452-2 <br />Vie) <br />NOTARY PUBLIC <br />SIGN: like, e <br />20 19, by <br />PRINK 31ZVcE G. LE & <br />Notary Public, State at large <br />My Commission Expires: Mff-C f � ZOZz <br />(Seal) <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1823 Jungle Trail Shoreline Stabilization Project (2018)\1-Admin\Bid Documents\Master <br />Contract Documents\00452 Disclosure of Relationships.doc <br />