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8 . Based on information and belief, the statement which I have <br /> to the entity submitting this sworn statement. (Please indicate which statement appis les) in relation <br /> X <br /> ' Neither the entity submitting this sworn statement, nor any officers , directors , executives , <br /> partners , shareholders , employees, members or agents who are active in management of the <br /> entity, nor any affiliate of the entity have been charged with and convicted of a public entity <br /> ' crime subsequent to July 1 , 19896 <br /> 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, or an affiliate of the entity has been charged with, and convicted of, <br /> a public entity crime subsequent to July 1, 1989, and (Please indicate which additional statement <br /> applies) -- <br /> There has been a proceeding concerning the conviction before a hearingofficer of the <br /> State of Florida , Division of Administrative Hearings . The final order entered y the hearing " <br /> officer did not place the person or affiliate on the convicted vendor tist. (Piease attach a copy of <br /> the final order) <br /> The person or affiliate was placed on the convicted vendor list. There has been a w <br /> ' subsequent proceeding before a hearing officer of the State of Florida , Division of <br /> Administrative Hearings. The final order entered by the hearing officer determined that it was in <br /> the public interest to remove the person or affiliate from the convicted vendor list. (Please <br /> attach a copy of the final order) <br /> The person or affiliate has not been placed on the convicted vendor list. (Please -` <br /> describe any action taken by, or riding with , the Department of General Services ) <br /> Signature : Date : April 14 , 2004 <br /> Y <br /> STATE OF Florida <br /> COUNTY OF <br /> ' Personally appeared before me , the undersigned authority, Jeff Brewster <br /> who after first bein�gpnsworn by me , affixed his/her si nature in the space provided above on this <br /> 4l <br /> day of 20� <br /> ' Notary Public, State at large �. <br /> My Commission Expires: <br /> ' BRONDA GIAM TTEI <br /> NOTARY COMMISSION / DD2758 <br /> PUBLIC <br /> tArE <br /> sEXPIRES JUL 30 2004 <br /> ' axcair WDeo N <br /> A&�ANTAOE N01ANMARY <br /> ' ' * END OF SECTION <br />