Laserfiche WebLink
SONNY IS <br />�F <br />s <br />�� eF <br />ti n <br />P <br />%�D°�. F�oR�oPSP, <br />Yo 5Uta PNO <br />STATE OF FLORIDA ) <br />COUNTY OF NA ? <br />NON -COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <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 />9-01n 1 cil o w l lie -liar k s <br />(Name of Corporation, Partnership, Individual, etc.) <br />a, ` 9 , formed under the laws of e `otw CLr e - <br />(Type of Business) (State) <br />of which he is ULc e <br />(Sole Owner, Partner, President, etc.) <br />Neither the undersigned nor any person, firm, or corporation named above nor anyone else to the knowledge of the undersigned, have <br />themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or <br />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 has not colluded, conspired, connived or agreed <br />directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall <br />refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with <br />any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids <br />described above true; and further; neither the undersigned, nor the person, firm or corporation named above has directly or indirectly <br />submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent <br />thereof. <br />C� l �z laru.ky; ce P(-e-5de..,�- <br />AFFIANT'S NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this <br />Personally Known or Produced Identification; <br />Type of identificationVt?CS�C�`3� <br />t*pr ill",. ERIN P BRITT•BAILEY <br />(Affix seal here) =a. ;��:: Notary Public State of Florida <br />Commission # GG 356710 <br />My Comm. Expires Nov 16, 2023 <br />Bonded through National Notary Assn. <br />day of Smbe.r 20 1 k <br />NOTARY PUBLIC (name 'pr'in�ter*pe <br />1 of 12 <br />