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O�5VpiHY Is���� <br />X. <br />NON -COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />a 'a <br />p q �* 18070 Collins Avenue <br />FLOr <br />QFC/rF f�O S� Sunny Isles Beach; FL 33180 <br />OF SUM <br />Telephone: (306) 947-0608 Fax (305) 949.3113 <br />STATE OFFLORIDA j <br />COUNTY OF _ IVADE r <br />The undersigned being first duly sworn as provided by law, deposes, and says-, <br />This Affidavit is made with the knovriedge and Intent that it is to be filed with the City of Sunny Islas Beach City Commission and that It will be <br />retied 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 ort behalf of, <br />CON-MECH,INC <br />(Name of Corporation, Partnership, Individual, etc.) <br />a; CORPORATION, formed under the laws of FLORIDA <br />(Type of Business) <br />of which he is - PRESIDENT (State] <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 aotion 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, 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 />�Vpd- Q)@;11 ►'-�wr <br />AFFIANrs NAME AFFIANrs TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 2G day of �I+iAil 2p <br />Personally Knowrl . X or Produced identification _ <br />Type of identification <br />(Affix seal here) <br />' YOH NIA AHC MIZO <br />1qjNotery Public -State of Florida NOTARY PUBLI¢ (name printed or typed) <br />Commission M HH 220934 <br />My Commission 6Xpires <br />A rill 18, 9020 <br />DECEMSER28,2010 <br />