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<br /> 4 NON - COLLUSION AFFIDAVIT
<br /> al-
<br /> .N` ' i• City of Sunny Isles Beach
<br /> 1&170 Collin Avenue
<br /> ''...\--!.z•r t 0.1.79 4. Sunny Isles Beach,FL 33160
<br /> •o, 1u+'" Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF PALM BEACH )
<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 /> West Construction,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 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 /> Ii ,j„ 4 _ . . /t j/ .." Martha A. Morgan, President
<br /> A'T'S NA AFFIANT'S TITLE
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 9th day of September ,200 !
<br /> Personally Known 1 or Produced Identification / .
<br /> Type of identification
<br /> (Affix seal here) ' .
<br /> w.. cqu= WI I
<br /> ia,07:14' RACQIIELJBA 1T N•TARY1 BLIC IZI e printed or typed)
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<br /> titc.FL
<br /> DECEMBER 28,2010 1 of 10
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