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SupNY J$t Ff <br />my NON -COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />r 18070 Collins Avenue <br />r l O0. Sunny Isles Beach, FL 33160 <br />oF so" Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />STATE OF FLORIDA <br />COUNTY OF Mlafill-Dade ) <br />The undersigned being first duly sworn as provided by law,. deposes, and says: <br />This Affidavit is made with the <br />knowledge and intent that it is to <br />be <br />filed <br />with the City of Sunny Isles Beach City Commission and that it will be <br />relied upon by said County, in <br />any consideration which may give <br />to <br />and <br />any action it may take with respect to this Bid. <br />The undersigned is authorized to make this Affidavit on behalf of, <br />of which he is <br />Rodriquez Architects, Inc. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a COrPOratlOn ,formed under the laws of Florida <br />(Type of Business) (State) <br />President <br />(Sole Owner, Partner, President, etc.) <br />Neither the undersigned nor any person, <br />firm, or corporation named in above Paragraph 10.2, nor anyone <br />else <br />to the knowledge of the <br />undersignedL have themselves solicited or <br />employed anyone else <br />to solicit favorable action for this Bid by <br />the <br />City, <br />alsc that no head of any <br />department or employee therein, or any officer of the City of Sunny <br />Isles Beach, Florida is directly interested <br />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 Ars described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />10.2 has it tly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to al(iy m mb r or agent thereof. <br />President <br />AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this � day of August , 2g 2q <br />Personally Known X or Produced Identification , <br />Type of identification <br />(Affix seal here) <br />�P`'4 MARIE MOORMAN <br />MY COMMISSION# GGI45117 <br />�7 00 EXPIRES: November 19,2021 <br />DECEMBER 28, 2010 <br />