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Osborn Engineering
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8/24/2020 10:55:45 AM
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� SVNNY ,r�Fr <br />A0�OF <br />NON -COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />16070 Collins Avenue <br />Sunny Isles Beach. FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />STATE OF FLORIDA <br />COUNTY OF -1l WcL ) <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 />1)5boy rl <br />(Name of Corporation, Pa nership, Individti , etc.) <br />a, b lY It ' formed under the laws of Q 14 <br />(Type of usiness) (State) <br />of which he is Vice, �t e,5166'"4 1 6q t A <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 />A(FFIAN S NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 31'TT day of <br />Personally Known or Produced Identification X <br />Type of identification 'f L. 'Me%f E4 s ►.i caNsE <br />(Affix seal here) <br />eaor�r� <br />ir��"!g•; RYAN D. ZSIGA <br />Commission # GG 022064 <br />a ° Expires August 16, 2020 <br />••9,p„�;,y°,". ° Bonded Thru Troy Fain Insurance 8003857019 <br />RFQ 20-07-01 CONTINUING PROFESSIONAL CONSULTING SERVICES <br />SECTION H - PAGE 67 <br />
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