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Shiff's Exhibit 1 - 15
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ITB 19-01-01 Gateway Park Center
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Shiff's Exhibit 1 - 15
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Last modified
5/16/2019 3:33:26 PM
Creation date
5/16/2019 3:12:50 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Gateway Park Center
Bid No. (xx-xx-xx)
19-01-01
Project Type (Bid, RFP, RFQ)
Bid
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kSVr1NY/sr EJ <br /> C?:) ; 0 .� NON - COLLUSION AFFIDAVIT <br /> • City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> A <br /> , .`o••`o . Sunny Isles Beach,FL 33160 <br /> c't,"o. sus '4° Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA <br /> COUNTY OF BROWARD) <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 /> • SNIFF CONSTRUCTION & DEVELOPMENT, INC. <br /> (Name of Corporation,Partnership,Individual,etc.) <br /> a, GENERAL CONTRACTOR ,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 /> Q2) 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,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. - <br /> JUSTEN SHIF PRESIDENT <br /> AFFIANTS NAME AFFIANT'S TITLE <br /> • <br /> TAKEN,SWORN AND SUBSCRIB D TO BEFORE ME this 06 day of MARCH ,20 1 9 <br /> • Personally Known X or Produced Identification • <br /> • <br /> Type of identification <br /> (Affix seal here) WOO <br /> N•T• ' PUBLIC(name printed or typed) <br /> ''"�sy RIA O.PICONE <br /> • MY COMMISSION#GG 015375 <br /> EXPIRES:September 8,2020 <br /> :FO[i;.0'Bonded Thai Notary Public Underwriters <br /> C V <br /> DECEMBER28,2010 1 of 8 — -- _ ..- - <br />
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