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(12-04-02) Professional Architectural and Engineering Services - Firms Only
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SUN-TECH
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Last modified
2/2/2016 2:00:52 PM
Creation date
2/2/2016 2:00:52 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Professional Architectural and Engin. Svcs
Bid No. (xx-xx-xx)
12-04-02
Project Type (Bid, RFP, RFQ)
RFQ
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JNA(r( <br /> os s.- bra <br /> NON - COLLUSION AFFIDAVIT <br /> City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> et, <br /> � rxox °� Sunny Isles Beach,FL 33160 <br /> •o, ,,, Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA <br /> ) <br /> COUNTY OF Broward ) <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 /> Sun-Tech Engineering, Inc . <br /> (Name of Corporation,Partnership.Individual,etc.) <br /> a, Corporation _ ,formedunderthelawsof Florida <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 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 /> A0A—/ President <br /> • FIANT'S N -War AFFIANT'S TITLE <br /> TAKEN.SWORN AND SUBSCRIBED TO BEFORE ME this 3 day of rn A y <br /> Personally Known ✓ or Produced Identification <br /> Type of identification <br /> \\llp l l l l l l l l l l/////V <br /> (Affix seal here) \�.� ��ee n Tay /.,, <br /> 06113/2014 = NOT P (name printed or typed) <br /> ROTARY PUBLIC <br /> rf9IOn <br /> ..u09981186 <br /> ///0 <br /> OF IF1C011��s <br /> llecereER 28.2010 1 of 7 <br />
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