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<br />NON -COLLUSION AFFIDAVIT
<br />City of Sunny Isles Beach
<br />18070 Collins Avenue
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<br />Sunny Isles Beach, FL 33160
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<br />Telephone: (305) 947-0606 Fax: (305) 9493113
<br />STATE OF FLORIDA
<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 />(Nam Corporation, Partnership, Indivt ual, etc.)
<br />a,�Ie�x 04- Ljq�1i��� i formed under the laws of �1ZHC0
<br />(Type of Business) (State)
<br />of which he is i>Ao liW
<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 />10.2, 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 />uAA ��'A�
<br />��' !1'J+? tr
<br />AFFIANT'S NAME AFFIANT'S TITLE
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 7 day of
<br />Personally Known 1.,/", or Produced Identification
<br />Type of identification I_ 1 at c,C -re' J
<br />,Si a nrte.
<br />(Affix seal here)
<br />NOTARY PLIC (name printed or typed)
<br />o"��i DIANA MARIA FERRARA
<br />.45'�
<br />omor
<br />_�-Notary Public -State of Florida
<br />Commission # HH 210965
<br />,��� My Commission Expires
<br />x'+1;111 December 26, 2025,
<br />DECEMBER 28, 2010
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