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40 <br />i <br />r SwoRN STATENmNI' UNDER SECTION 287.133(3)(a) <br />FLORIDA STATUTES, M PUBLIC ENUTY CRIMES <br />(To be Signed in the <br />presence of a notary <br />public or other officer <br />authorix,,eci to aclnminister <br />oaths.) <br />STATE OF Florida <br />I, <br />COUNTY OF Brevard <br />Before t, the undersigned authority, personally appeared Edwin <br />who, being by me first duly sworn, made the following statement: <br />1. The business address of Driveways Inc. <br />(name of Bidder or Contractor)is 3300 Bobbi i� Tit <br />2. My relationship to rte__; w�,�n <br />(name of Bidder or Contractor) is President <br />(relationship, such as sole proprietor, partner, president, vice president), <br />3. I understand that a public entity crime as defined in Section 287.133 of <br />Florida Statutes includes a violation of any atate or f6deral law by a person with respect to and <br />directly related to the transaction ofbusincss with any public entity in norida or with an agency or <br />political subdivision of any other state or with the United States, including, but not limited to, any <br />Bid or Contract for goods or services to be provided to any public entity or such an agency 0 <br />political subdivision and involving antitrust, fraud, theft, bribey, collusion, racketeering, <br />conspiracy, or material rrrisrepreswtation. <br />4. Yunderstand that "convicted" or "conviction" is defined by the statute to <br />mean a finding of guilt or a conviction of a public entity crinie, with or without an 4udication of <br />guilt, in any federal or state trial court of record relating to charges brought by indictment or <br />information after July 1, 1989, as a result of a jury verdict, nonjtuy trial, or entry o f a plea of <br />guilty or nolo contendere. <br />S. I understand that. "affiliate" is define -d by th,- statute to mean (1) a <br />predecessor or successor of a person or a corporation coav ted of a public entity crime, or (2) an <br />entity under the control of any natural person who is active in the management of the entity and <br />who has been convicted of a public entity crime, or (3) those officers, dirmors, executives, <br />partners, shareholders, employees, members, and agents who are active in the management vi' an <br />affiliate, or (4) a person or corporation who knowingly entered into a joint venture with a person <br />who has been convicted of a public entity crime in Florida during the preceding 36 months. <br />003M-9 <br />