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STATE OF FLORIDA
<br />COUNTY OF 1
<br />The undersigned being first duty 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 Goodyear Tire & Rubber Company
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />a TVe Manuhctureer&seMce center , formed under the laws of Ohio
<br />(Type of Business) (State)
<br />of which he is
<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 />1.0.2, 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 />d1i'v 5, J60'e'v
<br />AFFIANT'S NAM
<br />1-latc AN*964e-
<br />AFFIANTS TITLE
<br />TAKEN, SWORN AND SUBSCRIBED TO' BEFORE ME this?t#day of Aij &j20-1(�P
<br />Personally Known or Produced Identification (.
<br />Type of identification A , ' ;U�
<br />.044. lr •fT ��6 ,(/' 5— 6),) i3O
<br />(Affix seal here)
<br />NOTARY PUBLIC (name printed. or typed)
<br />app MANOUCHEKA LAFORTUNE FELIX
<br />fl-i"Notary Public
<br />o State of Florida
<br />Vils,11;
<br />Comm# HH176908
<br />Expires 9/20/2025
<br />DECEMBER 28, 2010
<br />,
<br />4 SVNNY.�lS�F�
<br />O k 9
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<br />NON—COLLUSION AFFIDAVIT
<br />U
<br />City of Sunny Isles Beach
<br />.
<br />18070 Collins Avenue
<br />�� . '.°� • a�o.R`° s"
<br />Sunny Isles Beach, FL 33160
<br />Telephone: (305) 947-0606 Fax (305) 949-3113
<br />STATE OF FLORIDA
<br />COUNTY OF 1
<br />The undersigned being first duty 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 Goodyear Tire & Rubber Company
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />a TVe Manuhctureer&seMce center , formed under the laws of Ohio
<br />(Type of Business) (State)
<br />of which he is
<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 />1.0.2, 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 />d1i'v 5, J60'e'v
<br />AFFIANT'S NAM
<br />1-latc AN*964e-
<br />AFFIANTS TITLE
<br />TAKEN, SWORN AND SUBSCRIBED TO' BEFORE ME this?t#day of Aij &j20-1(�P
<br />Personally Known or Produced Identification (.
<br />Type of identification A , ' ;U�
<br />.044. lr •fT ��6 ,(/' 5— 6),) i3O
<br />(Affix seal here)
<br />NOTARY PUBLIC (name printed. or typed)
<br />app MANOUCHEKA LAFORTUNE FELIX
<br />fl-i"Notary Public
<br />o State of Florida
<br />Vils,11;
<br />Comm# HH176908
<br />Expires 9/20/2025
<br />DECEMBER 28, 2010
<br />
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