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• <br /> SUNNY is(F,.`. <br /> t , <br /> _ NON- COLLUSION AFFIDAVIT <br /> u\ r � City of Sunny Isles Beach <br /> T 9t, 18070 Collins Avenue <br /> 4'90 ?:!•F.Lo''O01- Sunny Isles Beach,FL 33160 <br /> suN.' Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA <br /> COUNTY OF CLW 1'D) • <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 /> e)c `rkie.e__ <br /> (Name of Corporation,Partnersl'p,Individual,etc.) <br /> a, i 191- „o, ,formed under the laws of { e��� � <br /> (Typ of Business) (State) <br /> Cti Pr�-11-4 t. B ►�- (cc � <br /> of which he is � <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 •ny member or agent thereof. <br /> iritic - �Z J <br /> AFFIANT'S NA. = AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this `4"'aay of � i{ 20 "i <br /> Personally Known x or Produced Identification <br /> Type of identification <br /> (Affix seal here) k I 1 A <br /> NOTA=' • =LIC( ame p nte:o typed) <br /> giff Notary Public State of Florida <br /> 'Caney Ratteray <br /> +� t� My Commission FF 978529 <br /> 'eta <br /> op1F Expires 04/04/2020 ..1 <br /> • <br /> DECEMBER 28.2010 <br />