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RFP No. 22-04-01 Citywide Fiber Network Deployment
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Last modified
5/31/2022 3:45:59 PM
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5/31/2022 3:43:56 PM
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�p44Y 1//,J <br />NON—COLLUSION AFFIDAVIT <br />Y. Z <br />City of Sunny Isles Beach <br />' taoze calmsAwr <br />"`• " o "°Y = Suiwy Ives Beach. FL 33100 <br />_ Telephone 0051967-0006 Fp: (306) NP0110 <br />STATE OF FLORIDA J <br />COUNTY OF Ials11- <br />Tn0 undersigned doing first duly sworn as provided by law, deposes, and says. <br />This Affidavit is made with the knowledge aro intent that it IS to be filed with the City of Sunny Isles Beach Coy Commission and that d will be <br />retied upon by said County, In any consideration which may give to and any action it may take with respect to IN& BWd <br />The undersigned Is aulhOnufed 10 make this Affidavit on behalf of. <br />(Na1 of Corporation. Partnership. Individual, etc) <br />mini formed under the laws of <br />(Type qj Business) (Sla'e <br />o! which he Is J' a <br />1 (Sole Owner. Partner, PresldeM. etc ) <br />Neither the undersigned not any person. fdm. or Corporation named above nor anyone else to the knowledge Of the unOea lgrVld. have <br />themselves solicited or employed anyone else to solicit favorable action for Itis BItl by the C,ty. 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 iherem <br />This Bio us genuine and not collusive or a sham, the person, firm or corporation named above has not collufled. conspired. commed or agreed <br />directly or indirectly with any proposers or person, firm or Corporation, IO put in a sham Bid, tx that such person. firm Or corporin shall <br />refrain from Bidding, and has not In any manner. directly or Indlrecily. sought by agreement or collusion. or communiWhOn or conference with <br />any person. fine w 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 funh0r, neither the undeisgrICU, nor the person. firm or corporation named above has direcIly of inoineclly <br />su0mitod said Bid or the contents thereof. or divulged information or data retebve (hereto, tO any association of to any member or agent <br />thereof <br />AFFU1NTs NAME �ASFLFIANT'S TITLE <br />I <br />TAKEN. SWORN AND SUgSCRIRED TO BEFORE ME this day of M� 2022 <br />Pensonally Known V/ or Produced IdenlAoation <br />Type of denbficatlon 1�IA <br />(Atfue seat here) <br />Nomn' °vouc Suio or rlor.on N A P BLIC nanV printed dor typed) <br />Jainy Farnandez <br />My comms"" GG 270982 <br />qp �e� <br />ElPres 05rM'2022 <br />
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