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O� SV� <Ffe <br />NON - COLLUSION AFFIDAVIT <br />f <br />` City of Sunny Isles Beach <br />18070 Collins Avenue <br />➢'i , F � o 5" Sunny Isles Beach, FL 33160 <br />or 5,,,, � Telephone: (305) 947 -0606 Fax: (305) 949 -3113 <br />GEORGIA <br />STATE OF r- LOR41DA <br />COUNTY OF FULTON <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 />Kiewit Infrastructure South Co. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a Corporation formed under the laws of Delaware <br />(Type of Business) (State) <br />of which he is Senior Vice President <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, 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 />AFFIANT' NAME <br />Benjamin J. C rnazzo /Jr <br />Senior Vice President <br />AFFIANT'S TITLE <br />46 2 <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this ZO day of Ae r� <br />Personally Known X or Produced Identification , dola <br />Type of identification <br />(Affix seal here) <br />DECEMBER 28, 2010 <br />J'. // " q:: � <br />TARY PUBLIC (name Printed or typed) <br />amie L. Cooper <br />1 of 10 <br />