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FORMS & ATTACHMENTS <br />N—ti�5(Ef <br />O: R <br />NON- COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />•',�D- " �' 18070 Collins Avenue <br />%F '•FLoa5' Sunny Isles Beach, FL 33160 <br />o, su" r Telephone: (305) 947 -0606 Fax: (305) 949 -3113 <br />STATE OF FLORIDA ) <br />COUNTY OF BROWARD I <br />The undersigned being first duty 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 />ACAI Associates, Inc. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a Corporation formed under the laws of Florida <br />(Type of Business) (State) <br />of which he is 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.pmon, firm or corporation, to put in a sham Bid, or that such person, firm or <br />corporation, shall refrain from Bidding, and has _ot -in any manner, directly or indirectly, sought by agreement or collusion, or communication <br />or conference with any person, firm or cor lion, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in <br />the Bid or Bid d above true d further, neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />10.2, has clly or indlre ub ed said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any m ber or agent th fj <br />President <br />AFFIANTs TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this _ZM day of May 2015_ <br />Personally Known <br />or Produced Identification X <br />Type of identification Florida Driver's License <br />(Affix seal here) <br />v� <br />Nicole A. Spencer <br />COMMISSION i PF194540 <br />EXPIRES: d811lli y 29, 2019 <br />WWW.AARONNOTARY.COM <br />DECEMBER29.2010 <br />1 of 7 <br />TARY PUBLI (na printed or typed) <br />RFQ No. 15 -04 -01 1 ARCHITECTURAL DESIGN SERVICES FOR A NEW FACILITY AT 18080 COLLINS AVE. 1 <br />