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O� b�O N Y-IS<��,8 <br />NON -COLLUSION AFFIDAVIT <br />„ <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />yF <br />O <br />CD➢l• F�OR`9 `+�f Sunny Isles Beach, FL 33160 <br />c�Ty op SUN 'o Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />STATE OF FLORIDA J <br />COUNTY OF OLM4&e—) <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 />(Name of Corporation, Partnership, <br />Individual, etc.) <br />a, M V;%,4"sty CGCG) formed under the laws of <br />(Type of Business) (Slate) <br />of which he is M./A34 MEA"Ai4t-. <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, 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 />AFFIANT'S NAME AFFIANTS TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this P� day of 1 V 01 k%+ Aq <br />Personally Known or Produced Identification �–; J <br />/l <br />Type of identifications <br />1 <br />(Affix seal here) \/ p 1 '�-b 10 <br />If <br />fir, R 0 <br />NOTARY PUBLIC (name printed or typed) <br />` <br />EVELYN SOLORZANO <br />' j. ; . •` <br />Notary Public State of Florida <br />�i'.pi <br />Commission # GG 288836 <br />My Comm. Expires Jan 6, 2023 <br />DECEMBER 28, 2010 <br />