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• <br />• <br />453yeJY rrrf; <br />'4, xtpJ . Ft9r •} <br />D4 yJN <br />STATE OF FLORIDA } <br />COUNTY OF <br />NON -COLLUSION AFFIDAVIT <br />City of Sunny Isles Beech <br />$8070 Cadlins Avenue <br />Sunny Isles Beach. FL 33160 <br />Telephone: (3135i 547•(lgpr Fax: t305) 949-3113 <br />The undersigned being fast duly sworn as pinvi8od by Jaw, deposes, Rnd says: <br />Tnls Affidavit is made with the knowledge and intent thal it is to he filed with ttte City of Sunny Isles Beach City Commission and that it will be <br />falied upon by said County, in any consideraEem which may give to and any action it may take with respect to this RFP. <br />Tha undersigned is authorized to make this Affidavit on behalf of, <br />1 <br />(Name of Corporation, Partnership, Irtftidual, etc.) <br />a, 3 ceoIr l> , Formed under the laws of ti ` CA, <br />hype al 88sinass.) {State} <br />of which he is. <br />(Sala Ownef, Partner, President, etc_) <br />Neither the undersigned nor any person, firm, or corporation named above nor anyone else to the knowledge o° the undersigned, have <br />lhemsetY05 Solicited or employed anyone else to solicit favaratsle action for this RFP by the C y, atso that no head of any ae5partmont <br />m employee therein, of any offizer of the City of Sunny Isles Beach, Florida is directly interested therein. <br />This RFP is genuine arvJ not collusive or a share; the person. Firm or oorporation named above has not colluded, oonspired, connived or <br />agreed difeciky ar indirectly with any prrfposer6 of person, firm or corporation. to put in a share RFP, or that such person, firm ar <br />corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or commun ication <br />nr conference with any person- firm or torporotion, to fix the prices of said Bid or bids of any other prvpg5ers; and all statements <br />contained in She RFP or RFP's described above true; and funkier, neithsr the undersigned, nor the person, firm or aorporaton named <br />above has directly or tndirerdly submitted said RFP or the contents thereof, or divuiged infomration or data relative thereto, to any <br />associ$tion or to any member or agent thereof. <br />oLk 06L41- <br />AFFIANT'S NAME AFFIANT'$ TITLE <br />TAKEN, SWORN AND <br />RIBED TO BEFORE ME this day Df 1 a <br />Personally Known <br />Type of iklerttification <br />(Affix seal trere) <br />" HASSIiATH �l^ftALES <br />My ODMMSSION 0 FPMD5L <br />v <br />arnuxEs: i %o. �a�a <br />N TA Y PUDL name pHnied or typed) <br />1of10 <br />