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<br /> 01/47
<br /> -4 NON - COLLUSION AFFIDAVIT
<br /> I/ ao •
<br /> :` -;4").,_,_ City of Sunny Isles Beach
<br /> 18070 Collins Avenue
<br /> 't •v r0^ o ' Sunny Isles Beach,FL 33160
<br /> cittr or .v Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> Broward )
<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 /> EDSA, Inc.
<br /> (Name of Corporation,Partnership, Individual,etc.)
<br /> a, Corporation Florida
<br /> ,formed under the laws of
<br /> (Type of Business) (State)
<br /> of which he is Partner
<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 /> Robert M. Dugan Principal // / ' tor
<br /> AFFIANT'S NAME AFFIANT'S TITLE pAlp
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 30 day of �I ' ,2071 Y
<br /> Personally Known IV or Produced Identification ,
<br /> Type of identification
<br /> (Affix seal here) in
<br /> /{�/�' / / /
<br /> NOTARY PUBLI 10 ame printed or typed) I
<br /> 1 fw'a�,,, MARY ANNE STANLEY 1
<br /> 1 '+° J_1°`ro'a Notary Public••State.ol Florida
<br /> �� •E My Comm.Expires Dec 15.2015
<br /> d; Commission #EE 123433 1
<br /> 1 ,�° Y.trt8'�� Bonded Through National Notary Assn. 0
<br /> illornpneminripmempri
<br /> DECEMBER 2e,2010 1 of 7
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