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I <br />H <br />C <br />I <br />H <br />[I <br />I <br />LJ <br />H <br />H <br />O <br />0 <br />NON - COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947 -0606 Fax: (305) 949-3113 <br />The undersigned being first duly swom as provided by law, deposes, and says: <br />This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be <br />relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. <br />The undersigned is authorized to make this Affidavit on behalf of, <br />Ric -Man International, Inc. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a Corporation formed under the laws of Florida <br />(Type of Business) (State) <br />of which he is President <br />(Sole Owner, Partner, President, etc.) <br />Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the <br />undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any <br />department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. <br />This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, <br />connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firth or <br />corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication <br />or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in <br />the Bid or Bids desuib true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />102, has direcdy 'directly sub fitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any member r agentSberl o/ <br />President <br />AFFIANTS N R Castillo AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 4 day of Sentember 20X I3. <br />Personally Known X or Produced Identification , <br />Type of identification <br />- - <br />(Affix seal here) <br />NOTARY PUBLIC (name printed or typed) <br />o,c MARCIA WEST <br />h�'.` _ Notary Public - State of Florida <br />' _ <br />my Comm. Expires May 4, 2015 <br />y. ���,:` Commission p EE 90593 <br />DECEMBEa 28, 2010 1 of 7 <br />92 <br />SUNNT ,rrffs <br />of <br />C A <br />P <br />STATE OF FLORIDA ) <br />Broward <br />COUNTY OF I <br />I <br />H <br />C <br />I <br />H <br />[I <br />I <br />LJ <br />H <br />H <br />O <br />0 <br />NON - COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947 -0606 Fax: (305) 949-3113 <br />The undersigned being first duly swom as provided by law, deposes, and says: <br />This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be <br />relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. <br />The undersigned is authorized to make this Affidavit on behalf of, <br />Ric -Man International, Inc. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a Corporation formed under the laws of Florida <br />(Type of Business) (State) <br />of which he is President <br />(Sole Owner, Partner, President, etc.) <br />Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the <br />undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any <br />department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. <br />This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, <br />connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firth or <br />corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication <br />or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in <br />the Bid or Bids desuib true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />102, has direcdy 'directly sub fitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any member r agentSberl o/ <br />President <br />AFFIANTS N R Castillo AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 4 day of Sentember 20X I3. <br />Personally Known X or Produced Identification , <br />Type of identification <br />- - <br />(Affix seal here) <br />NOTARY PUBLIC (name printed or typed) <br />o,c MARCIA WEST <br />h�'.` _ Notary Public - State of Florida <br />' _ <br />my Comm. Expires May 4, 2015 <br />y. ���,:` Commission p EE 90593 <br />DECEMBEa 28, 2010 1 of 7 <br />92 <br />