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'�NNY r,r<F
<br />NON -COLLUSION AFFIDAVIT
<br />v =
<br />•, ' City of sunny isles Beach
<br />_ 16070 Collins Avenue
<br />/ti '�� • Rio ,.� Sunny Isles Beach, FL 33160
<br />r ��'� of sv •ao Telephone: (305) 947-0606 Fax (305) 9493113
<br />STATE OF FLORIDA )
<br />COUNTY OFI
<br />"Me 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 />�
<br />u�►MVe. J" 5 LL C.
<br />((Name of Corpo tion,(PPartners/h[p, Individual, etc.)
<br />a, C' D4\ 'I N.ID\11� i `Q c� , formed under the laws of �
<br />(Type of Busi ess) (State)
<br />of which he is le, 6 Uj (k4? -f
<br />(Sole Owner, Partner, President, etc.)
<br />Neither the undersigned nor any person, firth, or corporation named in above Paragraph 102, 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, 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 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, firth 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 />AFFIANT'S NAME AFFIANTS TITLE
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this A9 day of D� NUq R.l� 20zA
<br />Personally Known or Produced Identification
<br />Typeofidentification_r(,i!_ L-3g3g309a51q0
<br />(Affix seal here)
<br />ria`' KEVIN DESOUZA
<br />A Notary
<br />f- Public • State of Florida
<br />`i®� Commission N HH 376527
<br />My Comm. Expires Mar 20, 2027
<br />DECEMBER28.2010
<br />OTARY PUBLIC (name printed or typed)
<br />
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