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SWORN STATEMENT UNDER SECTION 287 . 133 ( 3 ) (a) FLORIDA STATUTES , ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICE AUTHORIZED TO ADMINISTER OATHS . 1 . This sworn statement is submitted with the Enterprises General Administration Agreement for Fred Fox , Inc . , and the Indian River County . 2 . This sworn statement is submitted by Fred Fox Enterprises , Inc . whose business address is 26 Spanish Street , St . Augustine , Florida 32084 , and (if applicable) its Federal Employer Identification Number (FEIN ) is 59 -2443697 . 3 . My name is Fred D . Fox , and my relationship to the entity named above is President of the Corporation . 4 . 1 understand that a " Public Entity Crime " as defined in Paragraph 287 . 133 ( 1 ) ( g) , Florida Statutes , means a violation of any state or federal law by a person with respect to and directly related to the transactions of business with any public entity or with an agency or political subdivision of any other state of with the United States , including , but not limited to , any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other stat or of the United States and involving antitrust , fraud , theft, bribery , collusion, racketeering, conspiracy , or material misrepresentation . 5 . I understand that " convicted " or " conviction " as defined in Paragraph 287 . 133 ( 1 ) (b) , Florida Statutes , means a finding of guilt or a conviction of a public entity crime , with or without adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1 , 1989 , as a result of a jury verdict , non -jury trial , or entry of a plea of guilty or nolo contendere . 6 . 1 understand that an " affiliate " as defined in Paragraph 287 . 133 ( 1 ) (a) , Florida Statutes , means : 1 . A predecessor or successor of a person convicted of a public entity crime ; or 2 . An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime . The term " affiliate " includes those officers , directors , executives , partners , shareholders , employees , members , and agents who are active in the management of an affiliate . The ownership by one person of shares constituting a controlling interest in another person , or a pooling of equipment or income among person when not for fair market value under an arm ' s length agreement, shall be a prima facie case that one person controls another person . A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate . 17