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tJHYT /rrF 4 �'1 O . , t'i't! =-• NON- COLLUSIO \t AFFIDAVIT ® I_ City of Sunny Isles Beach y - 18070 Collins Avenue it `oc Sunny Islas Beach, FL 33160 Telephone: (305) 947 -0606 Fac (305) 949-3113 STATE OF FLORIDA ) COUNTY OF Miami-Dade) The undersigned being first duly sworn as provided by law, deposes, and says: 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 relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, R.E. Chisholm Architects, Inc. (Name of Corporation, Partnership, Individual, etc.) a, S- Corporation , formed under the laws of Florida (Type of Business) (State) of which he is Sole Owner (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the ® undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. 11 This Bid is genuine and not collusive or a sham; the person, fine or corporation named above in Paragraph 10.2 has not colluded, conspired, 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 corporation, shall refrai om Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with an 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 desonbed above true; and furlhkrlVlrrer the undersigned, nor the person, Finn or corporation named above in Paragraph 10.2, has directly orndinntly submitted sat Id or the contents thereof, or divulged information or data relative thereto, to any association or to any member ur agent thereof. Chairman /Principal in Charge AFFIANT'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 12th day of August 2014 UB Personally Known or Produced Identification Type of identification (Affix seal here) .Jacqueline C. Rase0 S0 !L!Ga10t; i_E 124579 AUG. 23,2015 �WOF '. Y.'n'ri'.r A-0NNOTARYoom Decewaee 28.2310 1 of 7 8.23.15