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(12-04-02) Professional Architectural and Engineering Services - Firms Only
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Last modified
2/2/2016 3:57:38 PM
Creation date
2/2/2016 3:57:15 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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I <br /> t s.ri"'/rr es <br /> ' = <br /> V I NON - COLLUSION AFFIDAVIT <br /> � City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> I <br /> 'e o ,0-rib-.` Sunny Isles Beach,FL 33160 <br /> ' o. ,v Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ISTATE OF FLORIDA ) <br /> COUNTY OF Alachua ) ) <br /> IThe 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 /> ' <br /> The undersigned is authorized to make this Affidavit on behalf of, <br /> IEnvironmental Consulting & Technology, Inc. <br /> (Name of Corporation,Partnership. Individual,etc.) <br /> I a, Corporation <br /> (Type of Business) ,formed under the laws of Delaware <br /> (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 /> I 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 /> 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 /> Ito any member or agent thereof. _ l <br /> I <br /> 9 tet/` President <br /> AFFIA T'S NAME Lar J. anek, Ph.D. AFFIANT'S TITLE <br /> ITAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 2Fithday of April .R9ox-2012. <br /> Personally Known X or Produced Identification <br /> 1 Type of identification n <br /> (Affix seal here) <br /> 1-\...„.19-44...4a., )( . ['te1 <br /> !(-name printed or typed) <br /> TERESAerf81+lltrington <br /> Notary Public, State of Florida <br /> I My comm.exp.Aug.16, 2013 <br /> Comm.No.DD 901098 <br /> I <br /> IDECEMBER 28.2010 1 of 7 <br />
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