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2000-090
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2000-090
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Last modified
3/12/2024 10:34:43 AM
Creation date
3/12/2024 10:17:28 AM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
03/21/2000
Control Number
2000-090
Agenda Item Number
11.H.2.
Entity Name
Tri-Sure Corp.
Subject
Rockridge Sewer Project
Bid Number
2028
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r <br />• <br />e <br />M <br />6. Neither the Bidder or Contractor nor any officer, director, executive, <br />partner, shareholder, employee, member or agent who is active in the management of the Bidder <br />or Contractor nor any affiliate of the Bidder or Contractor has been convicted of a public entity <br />crime subsequent to July 1, 1989. <br />(Draw a line through Paragraph 6 if Paragraph 7 below applies) <br />7. There has been a conviction of a public entit y the Bidder or <br />Contra- ctoT, o officer, offficer, director, executive, partner, share r, employees, member or agent <br />of th_n Bidder Bi=d <br />,b7wh ' ' active in the ement of the Bidder or Contractor or an <br />affiliate of the Bidder or Contractor. 3lion has been made pursuant to Section <br />287.133 (3) by order of the ton o£ Administrative ngs that it is not in the public <br />EviEsion <br />EAdministrative <br />the convicted person or affiliate to appear a convicted vendor list. <br />nvicted person or affiliate is fP3t cod f <br />Hearings is attached to this statement. <br />{Draw a Linc through Paragraph 7 if Paragraph G above appli ) <br />Sworn to and subscribed before me in the state and u y first mentioned above on the 17th <br />[lay of February , 19 ---woo <br />Rrt (affix seal) <br />Nat y Public <br />GAYNSLL0.STGIITZ <br />N01"Y Pubft, Slate of Florida <br />MyCo.. — Sptplfq <br />M ssion exprmm. No. ccsisazs <br />00310-25 <br />Cilrremiehlp6p'o„ RolreutProlee! Rock*49 Se.nr InWovemrnr 310 4X <br />SWORN STATEMENT <br />
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