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11 /22/94 Cord / discl(>su . doc) Ow
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ORDINANCE 94-;
AN ORDINANCE OF INDIAN RIVER COUNTY, -� -
FLORIDA, ESTABLISHING A DISCLOSURE OF
RELATIONSHIP PROCEDURES FOR ENTITIES DOING r`:
BUSINESS WITH THE COUNTY. -
co
WHEREAS, it is in the public interest to have entities who submit
bids, submit proposals, or enter into contracts with the County to
disclose if there is any relationship with any County Commissioner or
County employee,
NOW, THEREFORE BE IT ORDAINED BY THE BOARD OF
COUNTY COMMISSIONERS OF INDIAN RIVER COUNTY, that:
SECTION 1. NEW SECTION.
A new Section 105.08 is added to the code to read as follows:
Section 105.08. Disclosure of relationships.
Any entity submitting a bid or proposal- or entering into a contract
with the county shall disclose any relationship that may exist between
the contracting entity or an affiliate of the entity and a county
commissioner or county employee.
The relationship with county commissioner or county employee that
must be disclosed is as follows :
Father, mother, son, daughter, brother, sister,
uncle, aunt, first cousin, nephew, niece, husband,
wife, father-in-law, mother-in-law, daughter-in-law,
son-in-law, brother-in-law, sister-in-law, step-
father, stepmother, stepson, stepdaughter, step-
brother, stepsister, half brother, half sister,
grandparent, or grandchild.
The term "affiliate" includes those officers, directors, executives,
partners, shareholders, employees, members, and agents who are active
in the management of the entity.
The disclosure of relationships shall be a sworn statement made on
a county approved form.
SECTION 2. DISCLOSURE FORM.
be codified.
SECTION 3. SEVERABILITY.
If any section, or any sentence, paragraph, phrase, or word of
this ordinance is for any reason held to be unconstitutional;
inoperative, or void, such holding shall not affect the remaining
form
The, attached disclosure
of relationships
the official form of the
form
is hereby adopted as
be codified.
SECTION 3. SEVERABILITY.
If any section, or any sentence, paragraph, phrase, or word of
this ordinance is for any reason held to be unconstitutional;
inoperative, or void, such holding shall not affect the remaining
form
the official form of the
county for said
disclosures.
This shall not
be codified.
SECTION 3. SEVERABILITY.
If any section, or any sentence, paragraph, phrase, or word of
this ordinance is for any reason held to be unconstitutional;
inoperative, or void, such holding shall not affect the remaining
portions of this ordinance, and it shall be construed to have been the
legislative intent to pass the ordinance without such unconstitutional,
invalid, or inoperative part.
SECTION 3. EFFECTIVE DATE.
This ordinance shall become effective upon becoming law.
Approved and adopted by the Board of County Commissioners of
Indian River County, Florida, on this22 day of November 1994.
This ordinance was advertised in the Vero Beach Press -Journal
on the 3 day of November 1994, for a public hearing to be held
on the 22 day of N o v P m h P r 1994, at which time it was moved for
adoption by Commissioner Adams seconded by Commissioner
B i r d and adopted by the following vote:
Chairman John W. Tippin
Vice Chairman Kenneth R. Macht
Commissioner Carolyn K. Eggert
Commissioner Richard N. Bird
Commissioner Fran B. Adams
" BOARD OF COUNTY COMMISSION
INDIAN RIVER COUNTY, FLORIDA
'ad frev K Bail
By Ay
e6lin W. Tippi airman
Acknowledgement by the Department of State of the State of Florida,
I, this 1st,, day of December 1994*
Effective date: Acknowledgement from the Department of State received
on this 5th day of December , 1994, at 1 : 30:&4m/p.m. and filed in
the Office of the Clerk of the Board of County Commissioners of Indian
River County, Florida.
-2-
Indian Riva Ca Approved Dale
Admin. lojapyl?Af
Legal
Budget
Dept
Rfsk Mgr.
7 / 20 / 94 (doc / disclose . doc) Ow
SWORN STATEMENT UNDER SECTION 105.08,
INDIAN RIVER COUNTY CODE, ON DISCLOSURE OF RELATIONSHIPS
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY
PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER
OATHS.
1. This sworn statement is submitted with Bid, Proposal or
Contract No .
2. This sworn statement is submitted by
[name or entity
whose business address is
submitting sworn statement ]
and
(if applicable) its Federal Employer Identification Number (FEIN) is
(If the entity has no FEIN,
include the Social Security Number of the individual signing this
sworn statement • )
3. My name is and my
[please print name of individual signing]
relationship to the entity named above is
4. I understand that an "affiliate" as defined in Section 105.08,
Indian River County Code, means
The term "affiliate" includes those officers,
directors, executives, partners, shareholders,
employees, members, and agents who are active in
the management of the entity.
5. I understand that the relationship with a County Commissioner
or County employee that must be disclosed is as follows:
Father, mother, son, daughter, brother, sister,
uncle, aunt, first cousin, nephew, niece, husband,
wife, father-in-law, mother-in-law, daughter-in-law,
son-in-law, brother-in-law, sister-in-law, step-
father, stepmother, stepson, stepdaughter, step-
brother, stepsister, half brother, half sister,
grandparent or grandchild.
6. Based on information and belief, the statement which I have
marked below is true in relation to the entity submitting this sworn
_ Neither the entity submitting this sworn statement, nor any
officers, directors, executives, partners, shareholders, employees,
members, or agents who are active in management of the entity,
have any relationships as defined in Section 105.08, Indian River
County Code, with any County Commissioner or County employee.
statement. [ Please indicate
which statement applies
. ]
_ Neither the entity submitting this sworn statement, nor any
officers, directors, executives, partners, shareholders, employees,
members, or agents who are active in management of the entity,
have any relationships as defined in Section 105.08, Indian River
County Code, with any County Commissioner or County employee.
_The entity submitting this sworn statement, or one or more of the
officers, directors, executives, partners, shareholders, employees,
members, or agents who are active in management of the entity have
the following relationships with a County Commissioner or County
employee
Name of Affiliate Name of County Commissioner Relationship
or Entity or employee
[ signature ]
[ date ]
The foregoing instrument was acknowledged before me this
day of , 19_, by who is personally
known to me or who has produced as identification.
sign
print*
State of Florida at Large
My Commissioner Expires.