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Ok SUNrr +r[ s� <br />F <br />i F <br />V - _ <br />%rAa�• Fwo¢� q+ <br />+r <br />} OF SUN +' <br />STATE OF FLORIDA )l <br />COUNTY OF HI�t31 -t <br />NON -COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <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 />yrestj4 )t r� �f(Alswyr jod-itrI4 r �ecmjm'lNo <br />(Name ofCorporation, Partnership, Individual, etc.) <br />a, —TD" i V1 0 . formed under the laws of TC Ivy, da <br />(Type of Business) (State) <br />of which he is S Q 1 e 0yi nt iir <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 />uIl ncio ff ufSidynr <br />AFFIANT'S NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 7-12 day of 12013 <br />Personally Known or Produced Identification 11.,,*�; <br />Type of identification oy 111e.y5 L 1 C"a <br />(Affix seal here) <br />Notary PVW SWe of Florida <br />Adnan Rico <br />�g My CCMrnM = HH 005456 <br />9iaR� Exµre503r3112024 <br />U 1u <br />NOTARY PUBLIC (name printed or typed) <br />lPms44.9 a -L46Tr-nnsi?o4-I-owiu + re -cove ry rri(. <br />1?F9 1+'!2 a-05-0) 1 of 8 <br />