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SUNNY,S4e
<br /> 0. ��re
<br /> NON - COLLUSION AFFIDAVIT
<br /> 5 _ 2
<br /> ® -. N.,-,... . .`‘)/ City of Sunny Isles Beach
<br /> •' �oY 18070 Collins Avenue
<br /> '> �'•Fr o.s o. Sunny Isles Beach,FL 33160
<br /> 'or sus'r Telephone:(305)947-0606 Fax(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF )
<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 /> HBC Engineering Company
<br /> (Name of Corporation,Partnership,Individual,etc.)
<br /> a corporation ,formed under the laws of Fl
<br /> (Type of Business) (State)
<br /> of which he is 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 r indirectly submitted said Bid or the contents thereof,or divulged information or data relative thereto,to any association or
<br /> to any member o gen of.
<br /> Adebayo T. ok President
<br /> AFFIANTS NAME oAF�FIIANTS TITLE /
<br /> TAKEN,SWORN AND SUBSCRIBEDUBTO BEFORE ME this w day of ,�Q//t/L.-- ,20d 2—
<br /> Personally Known L. or Produced�lIdentification 41-144 ; , i
<br /> Type of identification A✓jr•v
<br /> (Affix seal here)
<br /> g,3 ain;17AV2-/lig Ale/2/62
<br /> NOTARY PUBLIC(name printed or typed)
<br /> „tits GAETANIA HERARD
<br /> : Commission#EE 171091
<br /> Expires February 19,2016
<br /> df•,pr M•,d' Sated fir Troy Fan YmraYs90032-7019
<br /> 4111
<br /> DECEMBER 28,2010 1 of 7
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