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11 <br />40 <br />employees. membero and agents wkxo are active in <br />the management of an affiliate. the ownere"I? by <br />one person o€ ,,largo constituting a controlling <br />interest in another person, or a pooling of <br />equipment or in Como among length <br />personarm's s when not for; <br />fair market value under an one <br />agreement, shall be a prSLnn facia case �� ai who <br />pexA ean controls another psraon. pe <br />knowingly enters into - a joint venture with a <br />entity <br />Person who has <br />been convicted prec ding 36 months <br />crime in Florida during <br />shall be considered an affiliate. <br />7, 1 undersand that a "'person" as defined in Paragraph <br />287.133(l)(c1, Florida Statutes, moose any natural person or <br />t <br />ate of the United <br />c;ntity organi.xed under oer to enterof any intota binding contract <br />States with the legal F <br />which ,lido or applies to bid an Contracts far the <br />and seivi.09 Let by a public entity, ar <br />provision of goods or <br />s erisn8aact Thor e applies <br />which others+interm n persotD aincludes those <br />with a public entity. ar2ners, s4sarehaidern, <br />officers, directors, executives, Pe active in managementemployees, members and agents who as <br />of an entity. <br />B. gaffed on lnfnrmatian tea belief,gtem which <br />relation toi <br />the en ty <br />have ma.rkadbbalov? is statement. (pXeage indicate which <br />submitting this <br />rn <br />seats est applies) <br />Neither this entity submitting th•:s sworn statement, nor <br />any officers, directors, executives, partners, shareholders, <br />employees, members or agents <br />whOate sof active <br />entity management have bonn <br />the antity', nor anY <br />nvicted of a public entity crime <br />charged with and co <br />subsequent to July 1, 1989. <br />The <br />entity submitting this sworn statement, or one or <br />more of the officers, directorsr executives, partners, <br />ehasehal,are,_e,ployeea, member3 or agents wllo are active in <br />sharehm,ant of .therantl.ty,- or an affiliate of the entity has <br />barnuchargad'ith,.,and convictedIoft <br />a+public entity crime <br />boosubn Lchaat to suly 1. 1989, and (Fleasa indicate - which <br />addLtional stAtemant applies) <br />J1" I _ " roassdin concerning the conviction <br />'ghfZa hna been a p g <br />bafare a huaring officer of the state of Flo~rid+a. 1}iviaion <br />rings. The final <br />order <br />of Administrative <br />Ileaotplace the pa man or of f Lllste on the <br />hearing strat <br />convicted vendor list _(pleasts attach a copy of the fins <br />order) <br />-1"- <br />