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SONNr rst <br />o'r re <br />NON -COLLUSION AFFIDAVIT <br />• ` ��, <br />Cry of Sunny isles Beach <br />•� 7:� r <br />17 WCollwAveam <br />rto. � <br />..Sm"isles Baw4 FL 33160 <br />suN <br />Tetep(nonce:(365)94T-O6oGFa�c(30519493123 <br />STATE OF FLORIDA <br />COUNTY OF <br />The undersigned being first duly swom as provided by taw, deposes, and says: <br />This Affidavit is made with the knowledge and intent that it is to be flied with the City of Sunny Isles Beach City Commission and that it m11 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 />r-,I:!,Q2, lcue. NIF-fic;ir,4h►e, LLG <br />Mom 01Corporaticin, Partnership, Inriftfual, etc.) <br />a, W'�J- 0-(;rn f, formed underlhe laws of <br />(type of Business) (State) <br />ofwhichhe1s_- _&A0 �4.r <br />(Sole Owner. Partner, President, etc) <br />Neither the undersigned nor any person, firm, 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 colhrsive 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 firm Bidd Ing, 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 fit 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 underAned, nor the person. Inn or corporation named above in Paragraph <br />10.Z has directly or indirectly submitted said Bid or the contents thereof, or divutged information or data relative thereto, to any association or <br />to any member or agent thereof. <br />6�,Ia1u / 1 t�w1yi�r <br />AFFIANT'S NAIVE AFFUUWS THE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this7day of 2M <br />Personally Known 1/"-. or Produced Identification <br />Type of Identification. bt I.ic4 j l,'2 ^ <br />(Affix seal here) -� <br />ROTARYPOBLIC (name printed or typed) <br />DiANA MARIA FERRARA <br />Notary Pubilo state of Flaildell <br />"= Commission 0 HN 210943 <br />My Commission Expires <br />December 28, 2026 <br />Demam28. 2M0 <br />