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<br /> c T s NON - COLLUSION AFFIDAVIT
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<br /> `= City of Sunny Isles Beach
<br /> o� 18070 Collins Avenue
<br /> '•. o" Sunny Isles Beach,FL 33160
<br /> '•o,,un•.h." Telephone:(305)947-0606 Far(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF NA]• )
<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 /> lktiOAct C94 w Inc.
<br /> (Name of Corporation,Partnership,Individual.etc.) {y-•I
<br /> a, �'r"'•'`'0n ,formed under the laws of 1 L
<br /> (T of Business) (State)
<br /> of which he is e.. -lam iT CT3 -._ .
<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 /> ��Ir�� � �1 fro\ cu 1::31V--Q—c-7-01 .
<br /> AFFIANT'S NAME AFFIANT'S AE,
<br /> TAKEN.SWORN AND SUBSCRIBED TO BEFORE ME this (0 day of 1 1.(,IU•),� ,2001S-
<br /> Personally Known or Produced Identification .,�
<br /> Type of identification ton•Dcn ueAs lacc,s,
<br /> Affa seal here ,((�� �
<br /> .. . .. ., . , .. .- V WAtTtA ertSGS
<br /> �"'°�sC,i W MENESES NOTARY PUBLIC(name printed or typed)
<br /> Notary Public-Stale of Florida
<br /> ; mri •; My Comm.Expires Jul 1,2018
<br /> "'',',, d;;:'• Commission# FF 138149
<br /> - v r. — r r — .s .. ys v
<br /> DECE1A 5ER 28,1010 1 of 10
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