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I <br /> t J$N Y,rr <br /> 1 °,"C,---;;;Nr. <br /> / o- NON COLLUSION AFFIDAVIT <br /> VI I�p <br /> ` 1'W-!‘•-• City of Sunny Isles Beach <br /> y18 70 Collins Avenue <br /> I *r •..,no.g e� Sunny Isles Beach,FL 33160 <br /> e" <br /> 'o. su" '' Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ISTATE OF FLORIDA ) <br /> Orange ) <br /> li <br /> COUNTY OF ) <br /> IThe 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 /> 1 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 /> IMoore Stephens Lovelace, P.A. <br /> (Name of Corporation,Partnership,Individual,etc.) <br /> I <br /> a Corporation formed undertnelawsof Florida <br /> (Type of Business) (State) <br /> of which he is Shareholder <br /> 1 (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 /> I 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 /> I 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 /> --- _a` Shareholder <br /> Daniel FFIANT'S ME AFFIANT'S TITLE <br /> J. O'Keefe FFI <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 39 day of Deer rn ,20E15 <br /> IPersonally Known x or Produced Identification , <br /> Type of identification <br /> (Affix seal h' e) Notary Pud FbrNs <br /> • Tiffany s wynn _ .....I� I— I- <br /> g d My Commission FF 213051 NOT Y •f:LIC(na ly printed or typ-? <br /> sr w Expires 04/05/2019 <br /> I <br /> I <br /> DeceueER 23,2010 1 of 7 <br /> I <br />