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Addendum 04/14/1993 ADDENDUM TO AGREEMENT (Electrical Maintenance and Repairs) THIS ADDENDUM TO AGREEMENT is made and entered into this 14th day of April, 1993, between the COUNTY OF MONROE and PEDRO FALCON ELECTRICAL CONTRACTOR in order to amend that certain agreement between the parties dated April 24, 1991, as amended on April 22, 1992, as follows: 1. In accordance with Paragraph 1.06.B of aforementioned agreement, the County hereby exercises its option to renew said Agreement. 2. Paragraph 1.06.B of the addendum dated April 22, 1992, is hereby revised to read as follows: "The term of this renewal period shall be from April 24, 1993, through April 23, 1994." 3. In all other respects, the agreement between the parties dated April 24, 1991, as amended on April 22, 1992 remains in full force and effect. IN WITNESS WHEREOF, the parties have hereunto set their hands and seal, the day and year first written above. BOARD OF COUNTY COMMISSIONERS OF MONROE OUNTY, FLORIDA (Seal) By: Attest: DANNY L. KOLHAGE, CLERK By: C. NU De ut CIO P Y PEDRO FALCON ELECTRICAL CONTRACTOR r - � ''the s ;rat Witness '` 67: 6V b- ,WW APPROVED AS TO FORM AND GAL SUFFICIENCK ' Jr3 lip o By net's 72/91 Pedro ,c1" F Electrical Contractor 1305 W. Indies Drive, Ramrod Key, FL 33042 / Ph: 872 -2391 February 16, 1993 Monroe County Public Works Public Works Facilities Maint. 5100 College Road Rey West, FL 33040 RE: Electrical Contract -Lower Keys Facilities ATTN: Michael Lawn Dear Michael, In response to your letter of February 8, 1993, I accept the renewal of the contract as per contract terms and conditions. Certificates of insurance and licenses will be mailed at a later date. Sinveely, f Ped o Falcon, President Residential • Commercial • Institutional • Utility Pedro Fo. 1 con E I ect.. 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[print n of the public entity] • by q0/2.0 FA L Go A) FILES t Oyu [print individual's name and title] for P -t) /t v F4 L co) 6 l G c 21 C.TD ✓` / N C [print name of entity submitting sworn statement] whose business address is /3oS kJ /4) 7 /ES D/2 R4w12no Jcz » FL. 33 o 1 Z 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: .) 2. I understand that a "public entity crime" as defined in Paragraph 287.133(1Xg), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or of 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 state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1Xb), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an 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, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" as defined in Paragraph 287.133(1Xa), 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 pooling of equipment or income among persons 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. 5. I understand that a "person" as defined in Paragraph 287.133(1Xe), Florida Statutes, means any natural person 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 of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. • 6. • Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. [Indicate which statement applies.] Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, nor any of its officers, directors, exectutives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. [attach a copy of the final order] I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED ON PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. [signatur • Sworn to and subscribed before me this t — aay of ■ta , 19 93 r r - Personally known 4 % �° i ii. _ � � � . , . �i!� • • OR Produced identification Notary Public - Stat • • O� !i FLOR*NC* A WWI T My Commission ex ie CoMMNisION mamma (Type of identification) 0 1 66607 o cb Mr eownsstow sxr. •• 6 (Printed typed or stampe commissioned name of notary public) Form PUR 7068 (Rev. 06/11/92)