Laserfiche WebLink
RFP 2021014 Single Family Housing Development in Gifford <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, executives, <br />partners, shareholders, employees, members, or agents, who are active in management of the <br />entity have the following relationships with a County Commissioner or County employee: <br />Name of Affiliate Name of County Commissioner Relationship <br />or entity <br />or employee <br />jbignature) <br />(Date) <br />STATE OF �)QPJGI <br />COUNTY OF ?MM CX0C-jh <br />Sworn to (or affirmed) and subscribed before me by means of Q physical presence or 0 online <br />notarization, this day of 20D), byflrea (name of <br />person making statement). <br />(Signat of Notary Public - State of Florida) <br />(Print, Type, or tamp Commissioned Name of Notary Public) <br />Nwho is personally known to me or ❑ who has produced <br />as identification. <br />`%t,,,,r� <br />% 04t, ice: <br />NOTARY ' <br />PUBLIC <br />Comm, t HH 001788 _ <br />Sep 12.2'024 <br />OF F1.O�p ` <br />Page 16 of 24 <br />143 <br />