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S��NNY rs�6 <br />tib `9 NON -COLLUSION AFFIDAVIT <br />\ <br />City of Sunny Isles Beach 18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />carr of suN �`�� Telephone: (305) 947-0606 Fax: (305) 949-3113 <br />STATE OF FL��ORIDA/� ) <br />COUNTYOFA(AMI Ak.DE <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 />Zy C— <br />(Name of Corporation, Partnership, InclyVidual, etc.) <br />a, �d �- l _, formed under the laws of <br />(Type 6f Business) (State) <br />of which he is 1 / ( P be reb <% ,--' <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 />P am l' 6�, \/ee- LN's <br />AFFIANT'S NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this day of A4 !A'!' 20 2je <br />ersonally Knownj�— or Produced Identification <br />Type of identification �) I <br />(Affix seal here) <br />Notary Publio State of Florida <br />Ak John Peter Beadei <br />AM_MyHH 236473ion <br />IItI EXP, 5/2112026 <br />1 of 8 <br />