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4) <br />O <br />O <br />O <br />O <br />O <br />O <br />O <br />O <br />O <br />0 <br />SV HNr 1j1F <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 Faz (305) 949 -3113 <br />STATE OF FLORIDA J <br />COUNTY OF Miami -Dade ) <br />The undersigned being first duly swom 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 />Bermello Ajamil & Partners <br />(Name of Corporation, Partnership, Individual, etc.) <br />a Corporation formed under the laws of Florida <br />(Type of Business) (State) <br />Officer <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, not 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, fimt or corporation, to put in a sham Bid, or that such person, fl" 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, not 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 />Vice President <br />AFFI�AN 'S NAME Randy aoiline r-h AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this day of \ \'�`/S� . 20q_(. <br />Personally Known \ —_ or Produced Identification , <br />Type of identification <br />(Affix seal here) <br />ash ne ANGEUGIGWZM <br />MY COMMISSION t EE 114550 <br />EXPIRES: July 21, 2015 <br />DECEMBER 28, 2010 <br />1 of <br />125 <br />