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SUNNY isLf
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<br /> NON - COLLUSION AFFIDAVIT
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<br /> City of Sunny Isles Beach
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<br /> 18070 Collins Avenue
<br /> L l'e ''•FLOW".o+: Sunny Isles Beach,FL 33160
<br /> ' o, sus"� Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF '11041'1 I Dock- ,
<br /> The undersigned being first duly sworn 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 /> Trc 4CAdD /, 4-
<br /> (Name of Corporation, Partnership, Individual,etc.)
<br /> a,ji. 41 On �r YlC Sormed under the laws of Floc l cicr-
<br /> (Type of Business) (State)
<br /> of which he is Vico._ Pre 18 en
<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,
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<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, firm 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 described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
<br /> 10.2,has directly or indirectly submitted said Bid or the contents thereof,or divulged information or data relative thereto,to any association or
<br /> to any member or agent thereof.
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<br /> �AFFIANT'S NAME AANT'S TITLE
<br /> TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this Lfitday of M 4vd, ,mot
<br /> Personally Knownor Produced Identification p// . ,
<br /> Type of identification ED('''63cZ.leq-82df44'0
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<br /> (Affix seal here) I
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<br /> NOTARY PUBLIC(nam- printed ofd' .'--d) 4
<br /> r• Y,,%'••• TRINIACOWERT
<br /> • MY COMMISSION#GG 046113
<br /> s � �„b EXPIRES:December 4,2020
<br /> ••••o '01;•' Bonded Thru Notary Public Underwriters
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<br /> DECBBABER 28,2010
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