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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 />Name of County Commissioner Relationship <br />or entity or employee <br />(Signature) <br />7/31/19 <br />(Date) <br />STATE OF Florida <br />COUNTY OF St. Lucie <br />The foregoing instrument was acknowledged before me this 31st day of July , 2019 , by <br />Ben Guettler , who is personally known to me or who has produced <br />as identification. <br />SIGN: <br />NOTARY PUBLIC <br />PRINT: A r)AI in • ryf,yri <br />otary Public, State at large <br />My Commission Expires: <br />Nnu�� SH�f MtMORRIS <br />Goma ' GG 233422 <br />Expires July 31, 2022 <br />QF F049. ltwided ThruDudper Nnlury SoivItatt <br />00452-2 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1414-49th St_58th Ave to 31st Ave\1-Admin\Bids\Bid Documents\Master Contract <br />Documents\00452 Disclosure of Relationships.doc <br />