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�Q�SUKkY is(FSe� <br />NON -COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />FtUos°� Sunny Isles Beach, FI_ 33164 <br />Tr OF sL1 1, Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />STATE OF FLORIDA <br />COUNTY OF Miami Dade) <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 />The Stout Group, LLC <br />(Name of Corporation, Partnership, Individual, etc.) <br />a Roadway Construction , formed under the laws of Florida <br />(Type of Business) (State) <br />of which he is Manager <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 conte thereof, or divulged information or data relative thereto, to any association or to any member or agent <br />thereo'f� i'1 <br />Josfe-��chez IW--� Manager <br />AFFIANT'S NAME <br />AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 28 day of September 1202-1. <br />Personally Known X <br />Type of identification <br />(Affix seal here) <br />or Produced Identification <br />Known <br />YVETTE ZULUAGA <br />MY COMMISSION ftGG173146 <br />LXPIRES: January 07, 2022 <br />r2 ��� <br />ette Zuluag <br />NOTARY PUBLIC (name printed or typed) <br />1 of 12 <br />