Laserfiche WebLink
I <br /> IAppendix III — Proposal Forms (continued) <br /> I <br /> orul,, NON-COLLUSION AFFIDAVIT <br /> I City of Sunny Isles Beach <br /> -4:11;-:.-4:0:• '....- <br /> .— 12070 Ca9is Avenue <br /> ..o" a Sumy Isles)5a7- FL 33150 <br /> of c Teleph=rte_(305142703M Fax(30513+43113 <br /> ISTATE OF FLORIDA ) <br /> Miami-Dade ) <br /> N OF <br /> COUY ) <br /> ITne undersigned being trir,duly sworn as provided by law,deposes,and says: <br /> Tris Alidavir is made with the knowledge and irtent that it is to be lied win the City of Sunny Isles Beach Cay Commassion and that it wil be <br /> retied won by said Ceuray.in any consideration which may give to WIC any action it may table with respect to this Bid. <br /> I The undersigned is auth anted to make true Affidavit on behalf of, <br /> GLSC&Company,PLLC <br /> (Name of Corporation,Partnership,Individual,etC.) <br /> Ip Partnership ,to1ned triter laws of Florida <br /> (hype o:Business) (State) <br /> o:wnias he is Partner <br /> 11 (Sole Owner,Punier,President.etc) <br /> Neither Vie undersigned nor any person, firm,or corporation named in above Paragraph 10.2.nor anyone else to the knowledge of the <br /> maersigned,have themselves sdio:ed or employed an one else to soiot favorable action for Itis Bid by the City,also that no head of any <br /> I department or employee meren,or any officer of the City o;Surly Isles Beach,Fonda is directly interested thereat. <br /> ins Bid us dentine arid not collusive or a snarl:the person,:.rem or co porabon named above in Paragraph 10.2 nas not colluded,conspired, <br /> maned or agreed drectly or Sdrectly with any proposers or person,Inn or coro`i'aoon,to pts in a sham Bu,or that scab person.firm or <br /> corp raton,shall renter.tem Bidding,arc has not in any mama,dreary or indrecay,sought by agreement or colusion,or communtaton <br /> or conference wth any person.Ann or comorason,to fa the prices of said BPI or Bids of any other proposers:arc all statements corta:ned in <br /> I tie Ba or Bids described above true:and lurther.nearer She undersigned,nor me person,firm or corporation named above Si Paragraph <br /> 10.2.has directly or ndirecty 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 /> 1Q k. a- P -I�E <br /> AFFIANT'S NAME AFFIANTS TITLE <br /> TATEN,SWORN Af1D SUBSCRIBED TO BEFORE ME tris oU day of_j rOAIQ t../ ,Mks <br /> .personally Known t-,...--or Produced oentitcatun <br /> Tsve 01 identification <br /> I (r-.:v seal here) / i /�� Cye,e ll <br /> NOTARY' BLIC(name PNsted are typed) <br /> "IL:Z•tt. MANUEL GARCIA <br /> ���gj * MY COMMISSION/FF900113 <br /> .y'riT EXPIRES:November 1$,2019 <br /> ''amt Mott Tbru luget'bury Sento <br /> I <br /> Dere-sa to,ma 1 or 7 <br /> I <br /> 1 PROPOSAL <br /> 44.1,,_ 1 GLSC&COMPANY, PLLC RFP # 15-12-01 <br /> iilirJ yublir orrauniann <br />