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STATE OF FLORIDA )
<br />COUNTY OF Seminole 1
<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 lake with respect to this Bid.
<br />The undersigned is authorized to make this Affidavit on behalf of,
<br />CPH, Inc.
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />Corporation Florida
<br />a, , formed under the laws of
<br />(Type of Business) (State)
<br />of which he is Vice President
<br />(Sole Owner, Partner, President,
<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 solidi 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 Bitl, or that such person, fine 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 />I
<br />AFFIANTS NAME
<br />Vice President
<br />AFFIANTS TITLE
<br />11
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this _ day of
<br />Personalty Known X or Produced Identification
<br />Type
<br />(Affix seal here)
<br />" !b¢H PAMFLAA. SMITH
<br />,r , MY COMMISSION I EE 047217
<br />EXPIRES: January 2, 2015
<br />°irE� ®+�..o` BsdeE Thu Bud1d AUary Smxes
<br />DECr MR 28, 2010 1 of 7
<br />August 14
<br />200_
<br />0
<br />NON- COLLUSION AFFIDAVIT
<br />, •
<br />City of Sunny Isles Beach
<br />o
<br />18070 Collins Avenue
<br />`a
<br />•ii of o `
<br />Sunny Isles Beach, FL 33160
<br />Telephone. (305) 947 -0606 Far. (305) 94 9-3113
<br />STATE OF FLORIDA )
<br />COUNTY OF Seminole 1
<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 lake with respect to this Bid.
<br />The undersigned is authorized to make this Affidavit on behalf of,
<br />CPH, Inc.
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />Corporation Florida
<br />a, , formed under the laws of
<br />(Type of Business) (State)
<br />of which he is Vice President
<br />(Sole Owner, Partner, President,
<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 solidi 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 Bitl, or that such person, fine 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 />I
<br />AFFIANTS NAME
<br />Vice President
<br />AFFIANTS TITLE
<br />11
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this _ day of
<br />Personalty Known X or Produced Identification
<br />Type
<br />(Affix seal here)
<br />" !b¢H PAMFLAA. SMITH
<br />,r , MY COMMISSION I EE 047217
<br />EXPIRES: January 2, 2015
<br />°irE� ®+�..o` BsdeE Thu Bud1d AUary Smxes
<br />DECr MR 28, 2010 1 of 7
<br />August 14
<br />200_
<br />0
<br />
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