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Bermello Ajamil - Engineering
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(12-04-02) Professional Architectural and Engineering Services - Firms Only
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Bermello Ajamil - Engineering
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Last modified
2/2/2016 2:42:20 PM
Creation date
2/2/2016 2:42:20 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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0 <br /> SVNNY <br /> • _ was n NON - COLLUSION AFFIDAVIT <br /> City of Sunny Isles Beach <br /> • • <br /> Yx ,, 18070 Collins Avenue <br /> • r r o�� o Sunny Isles Beach,FL 33160 <br /> o, .0 '� Telephone:(305)947-0606 Fax:(305)949-3113 <br /> I <br /> STATE OF FLORIDA <br /> COUNTY OF Miami-Dade) <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 /> • <br /> • Bermello Ajamil & Partners, Inc. <br /> • (Name of Corporation,Partnership,Individual,etc.) <br /> ® a, Corporation formed under the laws of Florida <br /> (Type of Business) (State) <br /> • <br /> • of which he is Vice President <br /> • (Sole Owner,Partner,President,etc.) <br /> S <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 there. . <br /> 0 <br /> • <br /> Jorge F-rrer :✓ vice President <br /> • AFFIANT'S NAME AFFIANT'S TITLE <br /> n' <br /> TAKEN WORN AND SUBSCRIBED TO BEFORE ME this 30 day of NPL1 <br /> .2o6 . <br /> ANGEUCACAMACHO <br /> Personally Know or Produced Identification r mY <br /> 201115 <br /> • Type of identification E%PIu Pen/P 1U*11 <br /> � Bonded TMu Mars'/P1tAa Udrr/aien <br /> ® (Affix seal here) r Ar <br /> • NOTARY •TBLIC n:me printed or typed) <br /> • <br /> • <br /> • <br /> O• <br /> • <br /> • <br /> • <br /> DECEMBER 28.2010 1 of 7 <br /> • 78 <br /> Mk <br />
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