Addendum No. 5 ti ' - - 9-91 THI.I S .LJrc..E D .=-• r - 1 P . 1
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THE RES( DEVELOPMENT GROUP
‘ - .'"OOI.4e 606 50UTH FLAGLEFt DRIVE P.O,BOX 04131d
'; HUTC8iNSON SIATE 010 RCM' MYERS. FLORIDA .1.VX14
MARTIN WEST PALM BEAM FLORIDA 33401 TELEPSONE (113) 7%.07-22
4.1 & NERON TELS NE (407) 533-0750 FAXI:4 754-3123
FAX (407) 333-87e0
F
TELECOPY COVER SKEET
THE FOLLOWING PAGES TO:
____
FIRM: 6.1 Cj (2 yr
DATE: t
PHONE #:`
PROM:
TO NUMBER OF PAGES, INCLUDING COVER SHEET;
Nrf"E:
a consortium of professionals"
g4 N' — 9 F4 LI 1 5 : 2 9 S c) Li r I) eu I CD F E t I r . P Ia3
MONRCE CaUITY
Mar.'S.1-14, DIS1RICT
Ivr NO 5
.un, .:.latE.d May 3, - ,_9911 , , t-LD the etng fr
:Tanage7Ent Arivisory Serrices betw,rn Munre Cc nd Hztchins
(,:1r & Iczvine, incdes;
RECYCLI1G :7:0NTPACT NEC)TI'32
ec/i'L i1 tchnIcai af7.:icte_ to tile
-ing its negc with Ole current .tvarchisel
- g the :.:011eticr. and :17
ro In - 1 , 1=:_:!a a -
4s we are 1)r tht. following
P(ArtIler $110/hcur
S51,1:Jr
L1
and' art tia1i 11.7.A.teJ to a n:72
In the evnt negotiatins for re.cyg
above, the Consultarlt a to 50 inforT f
1 IA 7's _ Pn t -
inuc.w.:$z of services with aoy . _
ag: upon th
ri11Y- 9- 9 1 THU 1 S _ 2 SI = c ._ - ._• Lati! I .1 i r #- I r - .._- _ F' _ k 3
IN WITNESS WHEREOF, the parties hereto have caused this
Addendum to be executed by the respective authorized
representatives this day of , 19_.
As to the County
MONROE COUNTY
BY:
MAYOR/ CHAIRMAN
ATTEST BY:
CLERK TO THE BOARD
(S E A L)
APPROVED AS TO FORM AND LEGAL SUFFICIENCY BY:
COUNTY ATTORNEY
As to Consultant
BY: a
DIANE C. MARTIN
As The Lead Firm For
The Solid Waste Group
ATTEST BY:
WITNESS
(S E A L)
MAY— 9 -5 1 T LJ 1 -.5 r- o ar Dnk.. 1 e. -ii..r.t- I r - uc- _ F' _ 0 4
'THIS FORM �M JS 1' BE' SIGNED IN PRISE 4CE: OF A .NOTAF•Y PUBLIC OR Ofi t. OF I
•AUTBORIZED TO AZMINL ER OATFTS, CER
1. This sworn 'statement is submitteel.wih Bid, Proposal or Contract lOo,
for ., • . r --• F
Z. I}1Ls scorn state^ end is submitted byE�TC MOORS CALLER AU]) LEVI E ' .A.
[name of entity sutamitt ztg sworn statement
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• whose hosi.nez address is 5• South FIa• -r Drive. Sui • 11
and
r • • . •• {
,.. • s 59�2$312$I
(1 applicxblo) its re4trul F. aployer !drnti.Emdou 1 }
(If the entity has no FEIN, include the Social Sternly Ntrmben'ottho individual signing this sworn
state,Ferso — ,
3, M y r to 15Dian C . •i�lartizt and i.ty re. dorship to the
(p eusc print came of individual signing]
entity named above is 4ar_kn- . .3 i
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4. I understand that a 'public entity rime' as 'cleaned � Paragraph 257.133 ( I )(l;), �� drz S •
t..
=31:14 s a violation of any $data o federal law by a persot+ with respect to and d seedy related to the
transaction of business wish any public entity or with. an agency or political subdivision of any other
state or with the United Sr.ates, including, but not lim,rte-d to, any bid; or contract for goods or
services to be provided to any public entiry or art agency or olitical subd.ivisiou of any other state
or of the United States and involving antitr st, baud, t�ae,Pt, bribery, collusion, racketeering',
conspiracy, or material rris'representatiot, ., .. •
5, I understand that 'convicted' or °conviction' as cleaned In' Fara plt287.133(1)(b), Fine to )
utesns a ceding of guilt or a conviction of a public entity crime., with or Without an adjudication of
611t in any federal or state trial court ,of records relating,to charges brought by indictment or
information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty
or nolo contendere,
.
6. 1 understa, d that an 'affiliate' as detned in paragraph 2$1.133(i)(x), glosidAtext eta
1, A prcdec sor or succCSSOr of a person convicted of a public entity crime: or
2. An entity under the control of any uaturai person who is ac 've in the management of he
entity and Who ha, been convicted of a public entity crime. The tent 'affiliate includes those
afucers, directors, eXecutiv'd, partnerS, $k.axcholders, employers, members, and a ?sets whO arc active
in the management of an afilliate, The ownership by one person of shares constituting a controlling
interest in another person, or a pooling of equipment or income araoog persons when not for fair
market value under an arm's length agreement, shall be a prima facie cas4 ant one person controls
Another person. A ptraorx who knowingly enters faro a joint venture with a person who has been
convicted of a public entity crime in ,Florida duriug the preceding 36 months shall be considered an
affiliate,
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7. i understand that a `person" as defined in Paragraph 281,1.3(1)(e), Etoriji S#ht s , means 4,ny
natural persor, or entity organized under the laws of any state or of the United States with the legal
power to enter into a binding contract and which bids or applies to bid on contracts for the provision
or goods or services let by a pubiie entity, or which otherwise transacts or applies to transact burin. ss
with a public emir/. The term 'person• includes those officers, C re.ctors, executives, partners,
shareholders. employees, members, and agents who are active in managem of c ; entity,
8, Based on information and belief, the statement wbIcb 1 have marked below is true in relation to the
enti;}' submitting tells sworn statement. LPtease indic.•tte %Nlch sritcment: applies.)
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