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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 <br />or entity <br />STATE OF Florida <br />COUNTY OF I. Indian River <br />Name of County Commissioner <br />or employee <br />Relationship <br />(Date) <br />The foregoing instrument was acknowledged before'me this 19th day of September , 20 18 , by _ <br />Ben Guettler <br />who is personally known to me or who has produced <br />as identification. <br />NOTARY PUBLIC <br />SIGN: J Q,(D�k h <br />PRINT: Sharon M. Morris <br />Notary Public, State at large <br />My Commission Expires: 7/31/2022 <br />Page 18 of 39 <br />(Seal) <br />ro�rnr PLe�4 SHARON M. MORRIS <br />Commleelon # 00 233422 <br />Explres July 31, 2022 <br />s�,o NT SwdedTMaBWgs1NotatySw*As <br />