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<br /> ® JµrtY eYr •
<br /> ®
<br /> `S � J
<br /> O �s
<br /> �_ �� NON — COLLUSION AFFIDAVIT
<br /> v li `e,_ tY
<br /> ® '. ` '`-i ..1. City of Sunny Isles Beach
<br /> ®
<br /> 18,070 1;ollins Avenue
<br /> tiI il•�• O'° " Sunny Isles Beach,FL 33160
<br /> ® c'''o. se 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 /> O 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 /> 0 Stockton Maintenance Group
<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 Sole Owner / 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 a•-• :ereof.
<br /> (11 400111011k/OP.
<br /> ® •ug Riordan Sole Owner / President
<br /> 0 AFFIANT'S NAME AFFIANT'S TITLE
<br /> • TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this day of �7�..,..a-Z ,200'-4
<br /> • Personally Known xx or Produced Identification ,
<br /> Type of identification
<br /> ® (Affix seal here) o-,,,e,V.m- =yvt.-vvr�+rfP+
<br /> EL AINE MOSCfL':fI )
<br /> w CoMMISSI0?:8EEiiCi 50 / NOTARY PUBLIC(name printed or typed)
<br /> ® `
<br /> ,., txr:?FS:mar:II 01.2616
<br /> t.�G:iOS/1AY n i+aa!niisa+Arxe.i::
<br /> t .. t,y
<br /> ® BECEVaER28.2010
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