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tSUNNY I}rF, <br /> it/ --, o, NON - COLLUSION AFFIDAVIT <br /> ® i' — <br /> c • City of Sunny Isles Beach <br /> `//• 18070 Collins Avenue <br /> ® "v \Ira•' ++ Sunny Isles Beach,FL 33160 <br /> o.,u+' Telephone:(305)947-0606 Far.(305)949-3113 <br /> ® STATE OF FLORIDA ) <br /> ® COUNTY OF P1Mm-- <br /> an ) <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 /> ® Marcum LLP <br /> ® (Name of Corporation,Partnership,Individual,etc.) <br /> ® a. Partnership ,formed under the laws of Florida <br /> ® (Type of Business) (State) <br /> ® of which he is Partner <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 /> ,�j� <br /> ® Michael D. Futterman 712.)210t— <br /> 21/"� Partner <br /> AFFIANTS NAME AFFIANTS TITLE / �1 <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this JO day of Dc��be2 ,20i5 <br /> Personalty Known y or Produced Identification • <br /> Type of identification <br /> ® (Affix seal here) is° ! � <br /> ® <br /> NOTARY • BLIC(name printed or typed) <br /> CO P„ `h poiyuale Plsana Pudic State of Florida <br /> ® a My Commission FF 087093 <br /> Apo, Expires 01/282018 <br /> ® DECEMBER 2a.2010 1 of 7 <br />