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<br /> _I NON - COLLUSION AFFIDAVIT
<br /> City of Sunny Isles Beach
<br /> - )
<br /> 18070 Collins Avenue
<br /> 1\1:7t.O oe.S.
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<br /> a.:vv,um , a" Sunny Isles Beach,FL 33160
<br /> 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 /> IThe undersigned is authorized to make this Affidavit on behalf of.
<br /> Grau & Associates
<br /> (Name of Corporation,Partnership.Individual,etc.)
<br /> a, Corporation ,formed under the laws of Florida
<br /> I (Type of Business) (State)
<br /> of which he is Sole Owner
<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 /> 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 /> Idepartment 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 /> I 46;t,��y-
<br /> Antonib J. Grau President
<br /> AFFIANTS NAME AFFIANTS TITLE �.p
<br /> TAKEN.SWORN AND SUBSCRIBED TO BEFORE ME thisX day of d ,2P0_. i 5
<br /> IPersonally Known X or Produced Identification •
<br /> Type of identification
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<br /> r (Affix sea Fawn Stanford c r i . '1 \Sta-
<br /> ••;a:< ,, FAWN STANFORD
<br /> i.'•+° 1+2 Notary Public-State of Florida NOTARY PUBLIC(name printed or typed)
<br /> st '• •�•`_My Comm.Expires Sep 29,2016
<br /> .1. wP..`'� Commission•EE 213419
<br /> Bonded Through National Notary Assn.
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<br /> mECDAECX 2e,2D10 1 of 7
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