7-Attachment D.9 Sworn Statement Under Ordinance No. 010-1990 11 12 25 LobbyingConflict.pdf

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Attached to
The Sale of One (1) County-Owned Building and Land located in Marathon with Parcel Identification No. 00321730-000000
Solicitation number
ITB-654
Issued by
Monroe County, Florida

About this file

This is a Sworn Statement Under Ordinance No. 010-1990, an ethics compliance document required by Monroe County, Florida, for contractors and vendors engaged in county transactions. The document serves as a certification mechanism for all parties entering into agreements with Monroe County Commissioners, ensuring compliance with local ethics ordinances governing conflicts of interest and improper employment relationships.

The sworn statement requires the executing company or individual to warrant that it has not employed, retained, or otherwise engaged any former county officer or employee in violation of Section 2 of Ordinance No. 010-1990, or any current county officer or employee in violation of Section 3 of Ordinance No. 010-1990. The document specifies that breach or violation of these provisions authorizes Monroe County to terminate the agreement without liability and to recover the full amount of any fees, commissions, percentages, gifts, or other consideration paid to the implicated former or current county officer or employee. The statement must be notarized and includes fields for the affiant's signature, date, state and county designation, notary certification, and notary commission expiration date. This document is applicable to the Sale of One (1) County-Owned Building and Land located in Marathon, as approved under Monroe County Resolution 123-2026, wherein the property will be conveyed to the highest responsive bidder via Statutory Quit Claim Deed pursuant to Florida Statute 125.411.

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Text version

MONROE COUNTY COMMISSIONERS PURCHASING POLICY MANUAL

Revised 11/12/2025 96 | P a g e

ATTACHMENT D.9

SWORN STATEMENT UNDER ORDINANCE NO. 010-1990

MONROE COUNTY, FLORIDA

ETHICS CLAUSE

(Company)

“…warrants that he/it has not employed, retained or otherwise had act on his/her behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee.”

(Signature)

Date:

STATE OF:

COUNTY OF:

Subscribed and sworn to (or affirmed) before me, by means of physical presence or online notarization, on _________________________(date) by

(name of affiant). He She is personally known to me or has produced (type of identification) as identification.

NOTARY PUBLIC

My Commission Expires:

File details come from the government source that posted it. Updated .