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8 . Based on information and belief, the statement which I have marked below is true in relation <br /> to the entity submitting this sworn statement. (Please indicate which .statement applies ) <br /> _Neither the entity submitting this sworn statement, nor anrofficers , 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 I , 1989 . <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 I , 1989 , and ( Please indicate which additional statement <br /> applies ) <br /> There has been a proceeding concerning the conviction before a hearing officer of the <br /> State of Florida , Division of Administrative Hearings . The final order entered by the hearing <br /> officer did not place the person or affiliate on the convicted vendor list. ( Please attach a copy of <br /> the final order) <br /> The person or affiliate was placed on the convicted vendor list. There has been a <br /> subsequent proceeding before a hearing officer of the State of Florida , Division of <br /> 1 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 pending with , the Department of General Services ) <br /> Signature : ` ^ Date : <br /> STATE F F1 i d a <br /> COUN Miami Dade <br /> Personally appeared before me , the undersigned authority, Steven L . R i s i , <br /> who after first being sworn by me , affixed his/her signature in the space provided above on this <br /> 20th day of January , 20 04 <br /> NotPL blic , State at large ; <br /> M Commission Expires : 4' e 07 <br /> `ci%% iYii ,rJacqueline Cundms * * END OF SECTION <br /> ` + Commission ODD218904 <br /> F Expires: Jun 08 , 2007' <br /> Bonded Thm <br /> t , tlp IapM!1t eb:j Inc. <br /> 00450 - Public Entity Crimes Affidavit <br /> 00450 - 2 HARMONY OAKS <br /> F:1Public Works\KeilhW Stornwmter Projectski-lamiony Oaks Mitigation ProjecAConstruclion ContractXBidding and Construction Contract DoarmenlsWU50 • Public <br /> Entity <br /> Crimes AtTdavil.doc Rev. 05101 <br />