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I <br />it <br />t(l <br />\I <br />I <br />.,F <br />�I <br />`2I <br />U <br />°CI <br />,(I <br />I <br />±I <br />?I <br />tl <br />F) <br />�I <br />'FI <br />r) <br />�1 <br />rI <br />{I <br />dl <br />til <br /><I <br />`d <br />"<I <br />fl <br />�f <br />LI <br />;I <br />J <br />fl <br />h <br />�J <br />rl <br />.I <br />t� <br />SVNN Y lZr f <br />Of'�fa <br />" n <br />o. IM^ <br />STATE OF FLORIDA <br />COUNTY OF Broward 1 <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) 9493113 <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 />Cordova Rodriguez & Associates, Inc. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a,consulfing engineering firm , formed under the laws of Florida <br />(Type of Business) (State) <br />of which he is Principal <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, firth 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 />Luis E. Rodriguez, P.E. <br />Principal <br />AFFjANT'S N /�� <br />AFFIANT'S TITLE <br />TAKEN, SWORN AND SUB IBED TO BEFORE ME this/ day of 2014. <br />Personally Known or Produced Identification , <br />Type of identification <br />(Affix seal here) <br />REGINA PICCKxO LAUBSCHER <br />NOTARY PUBLIC <br />STATE OF FLORIDA <br />Comm# EE088693 <br />19 Expires 5/6/2015 <br />DECEMBER 28, 2010 <br />1 of 7 <br />