01/20/1994 Leasei
L E A S E
THIS LEASE, made and entered into this 20th day of
January, A.D., 1994, by and between, DOROTHY M, BAER,
hereinafter called "Lessor"; and MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, hereinafter called "Lessee";
WITNESSETH:
That the Lessor and the Lessee, in consideration of the
mutual covenants hereinafter contained, respectively promise unto
and agree with each other as follows:
FIRST. DEMISE: Upon the terms and conditions hereinafter
stated, and in consideration of the payment from time to time of
the rent hereinafter stipulated, and for and in consideration of
the performance by the Lessee of the covenants hereinafter
contained by the Lessee to be kept and performed, the Lessor has
leased, let and demised, and by these presents does lease, let
and demise unto the Lessee, the following described premises,
situate, lying and being in Monroe County, Florida, to wit:
Lots 7, 8 and 9, Square 3, PLANTATION BEACH, according
to the plat thereof recorded in Plat Book 2 at Page 76
of the public records of Monroe County, Florida.
Together with the buildings and improvement now or here-
after erected thereon, and all rights and privileges
appurtenant to the above described property, all here-
inafter referred to as the "leased premises".
TO HAVE AND TO HOLD the leased premises for the term of this
Lease, upon the terms and conditions herein set forth:
SECOND. CONSIDERATION: The Lessee, in consideration of the
demise of the leased premises by the Lessor, and for the further
consideration herein set out, has rented, leased, hired and does
hereby rent, lease and hire the leased premises of and from the
Lessor, on the terms and conditions hereinafter set out.
THIRD. TERM OF LEASE:
(a) Original Term. The original term of this Lease
shall be for a period of one (1) year commencing at the beginning
of the day of the 1st day of February, 1994, and terminating at
the end of the day of the 30th day of January, 1995.
(b) Option to Extend Term or Purchase. If the Lessee
is not in default under the provisions of this Lease at the time
of the exercise of this option, the Lessor does hereby grant unto
the Lessee the right and option to extend the term of this Lease
for two additional one (1) year periods commencing either upon
the expiration of the original term of this Lease or the first
additional term and terminating at the expiration of one (1) year
from the commencement of either original term or the first
extended term; provided that notice hereinafter required is
given. The extended terms shall be upon the same terms and
conditions expressed in this Lease. In order to exercise this
option, the Lessee shall give Lessor notice in writing of such
election at least six (6) months prior to expiration of the
original term of this Lease or, in the case of the second
extension, six (6) months prior to the expiration of the 1st
extended term. The expression "Lease term" or "term of this
Lease" or similar expression shall mean and include any extended
term unless otherwise specifically stated.
FOURTH. RENTAL PAYMENTS:
(a) During the first year of the Lease, the Lessee
shall pay to the Lessor rental in the amount of $2325.00 per
month. If the Lessee and Lessor agree to leasing for subsequent
years, the Lessee shall pay to the Lessor rental in the amount
calculated in accord with Paragraph Twenty -Six.
(b) The obligation to pay rental under this Lease is
independent of all other covenants of this Lease. All such
rental shall be payable on the first day of each month in the
arrears without demand in lawful money of the United States of
America which shall be at the time of payment legal tender for
the payment of all debts and obligations; and in the event the
rent has not been paid by the tenth day of the month, Lessee will
be placed in default of this Lease and subject to all remedies.
All rental payments shall be made by check delivered to the
Lessor, or as Lessor shall otherwise direct in writing in the
same manner provided for the services of notices in the
miscellaneous provisions of this Lease, except that such rental
payment need not be transmitted by certified mail. Such rent
shall not be deemed paid until collection of the proceeds if paid
by check. The payment of such rental check in normal course of
banking procedures shall relate back to the delivery of such
check, but Lessee shall remain liable to pay such check.
( c ) It is the intention of the Lessor and Lessee that
the rental herein specified as originally set or subsequently
adjusted shall be net to the Lessor during the Lease term, that
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all costs, expenses, and obligations of every kind relating to
Lessee's use of the leased property (except as otherwise
specifically provided for in this Lease) which may arise or
become due during the term of this Lease shall be paid by the
Lessee.
FIFTH. USE OF PREMISES: Lessee covenants and agrees that
it will conform to and observe all applicable laws, rules and
regulations of all public authorities, boards, or officers
relating to said premises or the use thereof, and will not permit
same to be used for illegal or immoral purposes, or make any
improper or offensive use thereof. Without limiting the
foregoing, the Lessee will not use or permit the leased premises
to be used for the sale or dispensing in any manner whatsoever of
any type of or form of alcoholic beverages, or any type or form
of addicting drugs or habit forming drugs or drugs which affect
normal behavior or action. Lessee agrees to not conduct business
on the premises during the nighttime hours between lOpm and
6am. Without the written consent and approval of Lessor, the
Lessee will not use or permit the leased premises to be used for
any purpose other than the repair of automobiles, trucks, rolling
equipment, and other similar vehicles, and the sale, rental and
storage of related automotive products. Lessor's consent will
not be unreasonably withheld.
SIXTH. ACCEPTANCE OF PROPERTY: Lessee accepts the leased
premises as is. Lessor has made and makes no warranties or
representations as to the condition of the leased premises or the
fitness of the leased premises for any particular purpose
whatsoever.
SEVENTH. NET LEASE: It is the understanding and agreement
of the parties hereto that this is a clear "NET" lease obligating
the Lessee to bear all expenses and make all payments consistent
with the principle of the "NET" lease, and the Lessee hereby
assumes and agrees to perform all duties and obligations with
relation to the demised premises, the improvements thereon, and
the appurtenances thereto, and the use, operation, and
maintenance thereof, even though such duties and obligations
would otherwise be construed to be those of the Lessor.
EIGHTH. UTILITY CHARGES. The Lessee shall arrange for and
provide at its own cost and expense and pay all charges for all
utilities and other services to the leased premises, including
but not limited to, electrical service, telephone service, water,
disposal of trash, rubbish, petroleum products and all other
waste materials, and sewerage service, whether they shall be
supplied by public authority or by a private firm; and Lessee
shall pay for such services as payment is due and shall not allow
them to become delinquent.
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NINTH. INSURANCE.
(a) Lessee agrees to maintain, at its cost, at all
times during the term of this Lease, including the period of
construction of any additions or improvements to said building,
fire, windstorm, vandalism and extended coverage insurance upon
the leased premises in an amount equal to the replacement costs
of such improvements, if commercially available at a reasonable
cost. Such policies shall be so drawn and shall contain such
provision as will protect both Lessor and Lessee, as their
respective interests appear. All policies of insurance, or
certificates thereof, as provided for in this paragraph shall be
delivered to lessor herein and will be renewed from time to time
by Lessee so that at all times the insurance protection herein
provided shall continuously exist. Lessee may choose to
self -insure itself for these perils using the same program that
it uses for its owned facilities.
In the event of loss, the proceeds collected from any such
insurance or self-insurance, and available to Lessor and/or
Lessee shall be paid over to TIB Bank of Key Largo, or to
such other Trustee as Lessor and Lessee may from time to time
designate in writing; it being understood, however, that all such
amounts shall be available to Lessee, providing there shall be no
default by it in any of there terms, covenants, or provisions of
this Lease, for the reconstruction or repair, as the case may be,
of any such building or buildings or improvements damaged or
destroyed by the fire or other casualty, and shall be paid out by
said Trustee from time to time as the work or reconstruction or
repairs shall progress, or on bona fide architect's or
contractor's certificates, showing application of the amount paid
for such repair or reconstruction; provided, however, that there
be furnished to the Trustee a certificate by an architect of the
Trustee's choice which shall certify unto the Trustee the amount
necessary for the reconstruction or repair of any of the
buildings or improvements so damaged or destroyed. Lessee shall
deposit with the Trustee such amount as may be in excess of the
amount received upon such policies for such purpose and the cost
of such reconstruction or repair as determined by the architect.
(b) In the event there shall be at any time any excess
remaining with the Trustee from the proceeds of such insurance
policies, after the repair or reconstruction of any such
buildings or improvements, to a condition equal to the former
condition thereof, then, unless the Trustee be on notice that a
condition of default exists under the terms and conditions of
this Lease, any such amount so held by the Trustee shall be paid
to the Lessee.
(c) All insurance policies required by this Lease shall
provide that the same may not be cancelled without the giving of
at least fifteen (15) days notice to the Lessor of intent to
cancel.
H
TENTH. LIABILITY INSURANCE: Lessee agrees to maintain, at
its cost, at all times during the term of this Lease, including
the period of construction of any additions or improvements to
said building, public liability insurance insuring against
liability for any personal injury or property damage, or both,
arising out of Lessee's use and occupancy of the leased
premises, including but not limited to the sale of any product,
or performance of any service, under policy or policies and
written by company or companies reasonably acceptable to Lessor,
and in limits of not less than $100,000.00 to cover the claim of
damage from a single claimant and not less than $200,000.00 to
cover more than a single claim which may arise from a single
accident, and including property damage insurance in the sum of
$50,000.00, under the terms and provisions of Florida State
Statute Section 768.28. Such policies or certificates thereof
shall be delivered to the Lessor herein within fifteen (15) days
from the commencement of this Lease and will be renewed from time
to time so that at all times insurance protection herein required
shall continuously exist. Lessee may choose to self -insure
itself for the liability insurance limits contained herein and
Lessor agrees to accept such a Certificate of Self -Insurance as
full compliance with this section.
ELEVENTH. SIGNS: The Lessee may paint or place any signs,
wording or markings upon the exterior of any improvements on the
leased premises without the prior written consent and approval of
Lessor so long as the same are fully in accord with all
applicable laws and ordinances, but shall place no sign upon the
roof or otherwise violate the watertight integrity of the roof.
Upon termination of this Lease for any reason, any such signs,
paintings or markings shall be completely removed or painted over
by Lessee with paint of a color to conform with the remaining
portions of such improvement and all damages caused by such
removal shall be immediately repaired by Lessee at Lessee's
expense.
TWELFTH. MAINTENANCE: At all times during the term of this
Lease, Lessee agrees at its own cost and expense to put and keep
the entire premises and all improvements thereon in good order,
repair, condition and appearance and in a well painted
condition. Lessee shall not permit any waste, injury or
disfigurement of the leased premises, or any part thereof.
Lessee shall keep the entire leased premises in a clean, neat and
sanitary condition. The foregoing requirements are, however,
subject to an exception for normal wear and tear.
THIRTEENTH. INSPECTION: Lessor and Lessor's authorized
agents, attorneys and accountants, or any one or more of them,
shall have the right to inspect the leased premises at all
reasonable times and as often as shall be reasonably necessary
for Lessor to know of the condition of the premises and
compliance with this Lease.
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FOURTEENTH. PROHIBITION OF LIENS: The Lessee shall have
no right or authority to make any contract for the improvement of
the leased premises which would impose or impress a lien upon the
land described in this Lease, and the creation of any such
liability is expressly prohibited. Any contracts of Lessee for
the repair and maintenance of the leased premises, or for repair
and reconstruction after casualty, or for construction of any new
buildings or improvements shall produce no lien attaches to the
land, and any lien against improvements, Lessor may demand that
the land be restored substantially to its condition before
commencement of the improvement. In the event that any lien for
work, services or materials claimed to have been furnished to the
leased premises, except as shall be created by the Lessor, shall
be filed or asserted against the Lessor's fee title or this
leasehold, or both, the Lessee in any such event shall within ten
(10) days after notice from any source of the existence of such
lien cause each and every such lien to be transferred to bond or
take other lawful procedure so that all interest in the leased
premises shall be released and discharged from such lien, or
Lessee shall cause such lien to be paid in full.
FIFTEENTH. DEMOLITION OR ALTERATION: Lessee shall not
demolish or alter any improvements existing or hereafter
constructed on the leased premises without the written consent of
Lessor.
SIXTEENTH. PROTECTION OF TITLE: The Lessor's fee simple
estate will be protected by the Lessee from all claims on behalf
of parties claiming under the Lessee, and Lessee shall satisfy
all such claims and indemnify and hold harmless from all such
claims and costs of satisfying or defending such claims including
reasonable attorney's fees.
SEVENTEENTH. ASSIGNMENT, SUBLEASE AND MORTGAGE:
(a) Except as specifically provided herein, the Lessee
shall not assign, mortgage, pledge, encumber or otherwise
transfer this Lease, the leasehold estate or any rights therein
without the written consent of Lessor.
(b) Upon the conditions herein stated, the leased
premises or a portion thereof may be subleased without the
consent of Lessor, provided that any sublease will be valid only
if the instrument of sublease refers to this Lease and if such
instrument is executed in the presence of two subscribing
witnesses, and if the Sublessee joins in the execution of the
instrument and expressly assumes and agrees to be subject to the
remedies on default under this Lease, and agrees to perform each
and every one of the covenants of this Lease by the Lessee to be
kept and performed, and if a fully executed and witnessed copy of
the instrument of Sublease is delivered to Lessor. No Sublease
shall relieve Lessee from the performance of any of the Lessee's
obligations under the Lease.
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EIGHTEENTH. INDEMNITY AND RELEASE: In consideration of the
leased premises being leased to Lessee for the above rental,
Lessee agrees:
(a) County will indemnify Lessor from damage caused by
County's own employees' negligence and only up to the amount of
the waiver of sovereign immunity.
(b) That the taking of possession of the Leased
premises by Lessee shall be and is conclusive evidence that the
leased premises and all improvements are in all respects in good
and satisfactory condition and acceptable to Lessee at the
commencement of this Lease:
NINETEENTH. EXPENDITURES:
During the term of this Lease, except as created by Lessor
and except as otherwise specifically stated in this Lease, the
Lessee shall pay all costs of services rendered to or on behalf
of the leased premises. Services should include but not be
limited to, electrical service, telephone service, water,
disposal of trash, rubbish, petroleum projects and all other
waste materials, and sewerage service, whether they shall be
supplied by public authority or by a private firm. Any
expenditures required of Lessee under the terms of this paragraph
or any other provisions of this Lease may be paid by Lessor
without waiving any default of Lessee.
TWENTIETH. PERSONAL PROPERTY OF LESSEE: Upon termination
of this Lease, if there shall be no rental or other payments due
from Lessee to Lessor and if Lessee is not in default, the Lessee
shall be entitled to remove all movable furniture, furnishings,
fixtures, equipment and other personal property in and upon the
leased premises belonging to Lessee. Lessee shall not, however,
remove any fixtures and similar property affixed to the
improvements (whether by bolts, screws or similar fasteners or
otherwise), or any heating or air conditioning equipment nor
other machinery and substantial fixtures, which are used in the
operation, use and enjoyment of the leased premises, as
distinguished from such items used in Lessee's specific
business. Lessee shall repair any holes in the floors, walls or
other parts of the structure and any other damage caused by the
removal of its personal property. All personal property not
subject to removal under this paragraph shall become the property
of the Lessor upon any termination of this Lease. All personal
property authorized to be removed and not removed from the leased
premises within ten (10) days of expiration of this Lease shall
thereupon become the property of the Lessor.
TWENTY-FIRST. QUIET TITLE: Lessor warrants that she has good
title to the premises and during the term of this Lease, Lessor
warrants that Lessee will enjoy peaceful and quite possession.
TWENTY-SECOND. SURRENDER UPON TERMINATION: Upon
termination of this Lease by lapse of time or by default or
otherwise, Lessee shall immediately surrender to the Lessor
exclusive physical possession of the leased premises, including
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all buildings, replacements, changes, additions and improvements
constructed or placed by the Lessee thereon, with all equipment
in or appurtenant thereto, except personal property of Lessee
entitled to be removed under Paragraph Nineteenth above, and such
surrender shall be broomclean, free of subtenancies and in
good condition and repair, reasonable wear and tear excepted.
Any personal property belonging to Lessee which may be removed or
belonging to a subtenant, if not removed within ten (10) days
after such termination and if Lessor shall so elect, shall be
deemed abandoned and become the property of the Lessor without
any payment or offset therefore. If Lessor shall so elect, the
Lessor may remove such fixtures or personal property from the
leased premises and store them at Lessee's risk and expense.
TWENTY-THIRD. DEFAULT: In the event that the Lessee shall
fail to perform or become in default in any of the covenants,
terms or conditions of this Lease by it to be kept or performed
(hereinafter referred to as "default"), then the following
provisions shall apply as stated:
(a) If the default by the Lessee is other than
providing for insurance coverage and other than for the
nonpayment of rent or other sums of money required to pay by the
Lessee, and if such default shall continue for thirty (30) days
after written notice thereof by the Lessor specifying the default
claimed, then the Lessor at its option may elect and pursue any
of the remedies hereinafter provided. However, if the curing of
such default reasonably requires a period of more than thirty
( 30 ) days then the Lessee shall not be deemed in such default as
to authorize the pursuit of remedies by the Lessor if, within
such period of thirty (30) days, the Lessee commences to cure
such default and prosecutes such curative action continuously
with promptness and dispatch to completion.
(b) If the default by the Lessee is for the nonpayment
of rent or for other sums of money required to be paid by the
Lessee, and if any such default shall continue for three (3) days
after written notice thereof by the Lessor specifying the default
claimed, then the Lessor shall be authorized to pursue the
remedies hereinafter provided.
(c) If the default shall be failure to provide or
maintain insurance coverage or to pay premiums within the time
required, the Lessor shall be entitled immediately to pursue the
remedies hereinafter provided.
(d) The remedies available to Lessor shall be that the
Lessor may elect to terminate this Lease and forthwith resume
possession of the leased premises and all property of lessee
described in Paragraph 1 above; or Lessor may retake possession
of the premises for the account of the Lessee; or the Lessor may
sue the Lessee for the rental payments under this Lease from time
to time for rent that has become due for one or more rental
periods or after the end of the Lease term. These remedies shall
0
be cumulative and shall not preclude the rights of the Lessor
under the statutes or common law of the State of Florida. In any
litigation to enforce this Lease, Lessor shall be entitled to
recover costs and reasonable attorneys' fees from the Lessee.
TWENTY-FOURTH. LESSOR'S RIGHT TO ADVERTISE: At any and all
times during the thirty (30) days prior to the expiration of this
Lease, lessor shall have the right to advertise the leased
premises as being for sale or rent and may place one substantial
sign on the leased premises. One (1) occasion during each
regular business day in said thirty -day period, whether or not
Lessee is open for business, Lessor may show the exhibit the
leased premises, including all interior portions of buildings,
during normal business hours, to prospective buyers or tenants,
provided that such showing shall be quietly and discreetly
accomplished so as to cause minimal interference with lessor's
business.
TWENTY-FIFTH. KEYS: At the execution of this Lease, Lessee
will provide Lessor with keys to each gate lock and door lock on
the leased premises and thereafter if any locks are added,
changed or re -keyed, will immediately deliver keys for same to
Lessor.
TWENTY-SIXTH. RENTAL ADJUSTMENTS: The contract amount
agreed to herein shall be adjusted annually in accordance with
the percentage change in the Consumer Price Index (CPI) for Wage
Earners and Clerical Workers in the Miami, Florida area index,
and shall be based upon the annual average CPI computation from
January 1 through December 31 of the previous year. Increases in
the contract amount during each option year period shall be
extended into the succeeding years.
TWENTY-SEVENTH. LANDSCAPING: Lessee is responsible for
providing and maintaining any required landscaping on the leased
property. Lessor plans to landscape, at her expense, the land to
the southeast of the property line running along the Old Highway,
providing no more than two entrance gate openings to the leased
property, subject to obtaining the necessary governmental
permits. Lessee agrees to maintain this Old Highway landscaped
area and to keep it free of vehicles, stored materials, trash or
other debris.
TWENTY-EIGHTH. MISCELLANEOUS PROVISIONS: Defaulting any of
the covenants of this Lease shall constitute a default of the
whole Lease.
Time is of the essence in every particular of this Lease.
The expression "Lease term" or "term" or similar expression
shall mean and include any extended term under this Lease unless
otherwise specifically stated.
Wherever a reference to Lessee or Lessor shall appear in
this Lease, such reference shall apply to and be binding upon the
heirs, personal representatives, devises, legatees, successors
and assigns of the Lessor or the Lessee. Any reference to
"person" or "persons" shall mean and include natural persons and
artificial persons and firms and corporations.
Any and all notices required or authorized to be given under
this Lease shall be deemed complete upon personal delivery to the
Lessor or to the Lessee, or on the second day following the day
of the posting of such notice in the United States Mail by
Certified Mail and return receipt requested and addressed to the
Lessor or Lessee as follows:
LESSOR: Dorothy M. Baer
87883 Old Highway
Islamorada, Florida 33036
LESSEE: Board of County Commissioners
c/o James Roberts, Administrator
5100 College Road
Key West, Florida 33040
The parties may change the address provided above by giving
written notice of such change of address according to the terms
of this paragraph.
Whenever used, the singular shall mean the plural and the
plural shall mean the singular, and the use of any gender shall
mean and include all genders, as the context permits and requires.
In the event that the last day of any time period provided
by this Lease shall fall upon a Saturday, Sunday or legal
holiday, then such time period shall be extended to and include
the next day that shall not be a Saturday, Sunday or legal
holiday. The term "Legal holiday" means any day so declared by
the law of the State of Florida or the law of the United States.
Any obligation for indemnity, the payment of money, or the
replacement or delivery of personal property required under this
Lease shall survive the termination of this Lease for any reason.
This Lease contains the entire agreement between the
parties, and no agreement shall be binding upon any of the
parties unless incorporated in this Lease or another instrument
in writing signed by all parties in the presence of two
subscribing witnesses. No surrender of the demised premises for
the remainder of the term of this Lease shall be valid unless
accepted by Lessor in writing.
No waiver of any condition or covenant of this Lease by the
Lessor shall be deemed to imply or constitute a further waiver by
Lessor of any condition or covenant of this Lease.
The titles given to the various paragraphs of this Lease are
inserted for the purpose of reference only and shall not be
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considered as part of the Lease for
provisions.
Venue for any claim, dispute o
under this Agreement shall be in Monroe
IN WITNESS WHEREOF, the parties
hands and seals and caused this Lease
day and year first above written.
LESSEE:
(SEAL)
Attest: DANNY KOLHAGE, Clerk
By sOOa4etC.
4V
.,e4�
Deputy Clq&k
LESSOR:
interpretation of its
r cause of action
County, Florida.
have hereunto set
to be duly executed
arising
their
on the
BOARD OF COUNTY COMMISSIONERS
of MONBM SQUNTY, FLORIDA
By_e►
yor/Chairman
DOROTHV M. BAER
11
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
ILL-QI ! AE& UTI:S. ON PUBLIC ENTITY CRIMES
Tim Fwuyi Nius,r m SICi1(EA ANU SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC t:
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS., This sworn statement is submiva
[print name of the public entity]
b>
(print individual's nam�and title]
for_
(print name of entity submitting sworn statement)
whow I]usincss address is
and Of applicable) its Federal Employer Identification Number (VEIN) Is
(If tile entity has no FEIN, include the Social Security Number of the
SlAlenwn.t:
I signing; this sworN
I understand that a "public entity crime" as defined in Paragraph 287..133(l)(1;), F1 04a
violation of any state or :federal law by a person with respect to and directly related to the transactionaffftdnes$
will] any public entity or with an agency or political subdivision of any other state or of the United Stag,;.-wftding,
but not limited to, any bid or contract for goods or services to be provided to any public entity or wasgitmey or
political subdivision of any other state or of the United States and involving antitrust, fraud, tbdk i;eWery,
coll]ssion, racketeering, conspiracy, or material misrepresentation.
I understand that "convicted" or "conviction" as defined in Paragraph 287.133(I)(b), Elgridl , Iat swans a
finding of guilt or a conviction of a public entity crime, frith or without an adjudication of guilt, In anyll1pftr.:al or
$talc trial court of record relating; to charges brought by indictment or information after July I, I".319 a►sa ftsult
of a jury verdict, nonjury trial, or entry of a plea of guilty or noto contendere.
I understand that an "affiliate" as defined in Paragraph 287.133(l)(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 sad ] .has
been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executivcol;„pnaaers,
shareholders, employees, members, and agents who are active in the management of an affiliate. TIM.aetaa uship
by one person. of shares constituting; a controlling interest in another parson, or pooling; of equipnxeattwiascome
anion€, parsons when not for fair market value under an arm's length agreement, shall be a prima facie.. et¢ that
one person controls another person. A person who knowingly enters into a joint venture with a pctVA0 has
been convicted of a public entity crime in Florida during the preceding 36 months shall he considered aataffliliate.
I understand that a "parson" as defined in Paragraph 287.I33(I)(e), F(4rlda Stgtute , means any ast wallperson
or entity organized under the laws of any ,state or of the United States with the Icg;al power to enter ist#aa shading
contract and which bids or applies to bid on contracts for the provision of goods or services let by apatWentity,
or which other- ise transacts or applies to transact business with a p]]lalic entity. The term "personr4acis*s those
officers, directors, executives, partners, shareholders, employees, man]bers, and agents who are active in
ritat]a;;cn]cnt of an entity.1.2.3.4.5.
LO 3SVd S31IAZi73S 16Vn1^i _L3�1d i '=?F.. �n� ;ra: ra I,Ccr;r. /Tfil
Based on information and belief, the statement which I have marked Lwow is true in rt:}atio .4011k entity
Sub
Iris sworn statement. [Indicate which statement applies.)
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�the entity submitting this sworn statement, nor any of its officers, directors, VWCUUNVS,
partners, shareholders, employees, members, or agents who -are active in the management of the fty, nor
any affiliate of the entity ltas hcen charged with and convicted of a public entity crime subseqmw loJuly
1, 1989.
The entity submittin this swor�co
cot, n ► ny of its officers, dire. tars, cxccutivcsftartners,
�Warchold,y, tployees eni s, a��v r cacti n t manafemcnt c►f the entity,trttMttef}iate
ftr. tithas ar;t d fait and nvicted *f a Nublic entity crime subsequent to July A„ ?41I9.
_ The entity submitting this sworn statement, or on or more of its officers, directors, a atcaxiveS,
pa hers, shttr' crs, cmpl� , c ,Venbx4r, o R�;entS 1 o re actiYi in ' trranat;em of tl4crntty, pr
an ►fiat►' of he cis 'tV ttas t cn c h a convi ted a public nfics in�e s bs uprt u1y I,
198t Howe cr, ther has en a suproc edin � bcfor a Idea in{; O trer of he S 3ttt; +rids,Divist n o d♦ninistra 've IcaringI�inal r r entcre by c hear Ig 0 leer d t that
it was ntit in the public in crest to pltity submitting this s orn statentc t o the con rc
list. )Attach R copy of the final order]
i
(t. 1 LINDERSFAND'I'}-IATTHE SUBMISSION OF THIS FORM TO T11 E CONTRACTING OFFICER
FOR `f•HE.PUBLIC ENTITY IDENTIFIED ON PARAGRAPH I (ONE) ABOVE FS FORTHA•TIMBLIC
EN ONI,} AND,TIIATTIIIS FORM IS VALIDTHROUGH DECFMB It31 OFTHEC'ALMDAR
1'M;A.14ITV NviItCII I'I-IS FILED. I AI,S0 UNDEII.;TANDTUTAT I AM I2I?QUIItEn` O INF(W4TM-E
PI.:BLIC ENTITY Pi4.1014 TO ENTERING INTO A CONTRACT' IN EXCESS OF THE THRESHOLD
Al 0UNT PROVIDED IN SECTION 287.017, fliniPQ &TAIUM TFOU C:A.TI.GVli� I;YQt3ixAiVY
CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
[si . natt►rc)
Sworn to and subscribed before me this�H day of U `' IS_Q N
Personally known , �C S
O12 Produced identification_ ___
(Type of i(lentification)
Born# PUR 7068 (Rev. 0611I/92)
Notary Public - State of ,•_,_ ELDNA3 k
My Commission
VAC,()C
$mom. •C� r �-� c
?My Comm. Exp;w?Z .,
April 20, 1991 e' ►
No. CC278193
%.�9�:•'�UBL��:•� •<
' Fi nF uO s \'`\
`LG,IQCl1
public)
rn �rl- i ,-nTn>4�S _U-%J9 d _L33-1.d j'Yi7r ZPIZ OC
L.0:170 1766T/TZ/T0
SWJRN STA,rE.MEn UNDER. ORDINANCE NO. 10--1990
W)NROE COUNTY, " FLORIDA
ETHICS CLA?JSE
rrant:s that he/it has not employed,
retained or otherwise had act on his/its behalf .any former County officer
or employee in violation of Section 2 of ordinance No. 10-1990 or any
County officer or employee in violation of Section 3 of ordinance No.
10-1990. For breach or violation of this provision the County may, in;
its discretion, terminate this contract without liability and may also,
in .its discretion, deduct from the contract or purchase price, or
otherwise recover, the .full amount of any fee, commission, percentage,".._
gift., .car consideration paid to the former County officer or employee..-.
• (sa.c�nature )
Date
STATE OF
COUNTY OF
Subscribed. and sworn to (or affirmed) before
me cn `ii1+ `{ a ' (da.te) by
No ( name of of f ian:t) .
He/She i �Pers�onal�lykn�own�tome or has produced
as identification.
(type of id
' pT,� �•,'
_c OM
y Comm.
APril 20, Tr 7
No. CC2781B
IC
MCP#4 REV. 2/92
Z0 39dd SMIAN3S iWnW 133_13 Z97c7.F:,7QA /A:bP f7rrT/T7JTP