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Bermello Ajamil - Urban Planning
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(12-04-02) Professional Architectural and Engineering Services - Firms Only
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Bermello Ajamil - Urban Planning
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Last modified
2/3/2016 3:30:26 PM
Creation date
2/3/2016 3:30:25 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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• <br /> • <br /> • SUNNY 1r1e <br /> O [ a NON - COLLUSION AFFIDAVIT <br /> `'I•_r=t kc <br /> • City of Sunny Isles Beach <br /> • <br /> O 18070 Collins Avenue <br /> ���. r1o�+o0++ Sunny Isles Beach,FL 33160 <br /> Oej, <br /> o, .uw '� Telephone:(305)947-0606 Fax:(305)949-3113 <br /> • <br /> • <br /> O STATE OF FLORIDA <br /> O COUNTY OF Miami-Dade) <br /> • <br /> O The undersigned being first duly sworn as provided by law,deposes,and says: <br /> O 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 /> O relied upon by said County,in any consideration which may give to and any action it may take with respect to this Bid. <br /> O The undersigned is authorized to make this Affidavit on behalf of, <br /> • <br /> • Bermello Ajamil & Partners, Inc. <br /> o (Name of Corporation,Partnership, Individual,etc.) <br /> O 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 /> 0 <br /> O 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 /> • <br /> • <br /> • Jorge Ferrer A_ vice President <br /> O AFFIANT'S NAME AFFIANT'S TITLE <br /> • <br /> O TAKEN.SWORN AND SUBSCRIBED TO BEFORE ME this �0 day of AprI'.`- 200 12 <br /> • <br /> Personally Known " or Produced Identification !!! <br /> • <br /> O Type of identification <br /> • <br /> '1111 <br /> • (Affix seal here) ¢"'rfiy, M SHICACAMACHO f �� <br /> • <br /> MY COMMISSION July 1.111560 <br /> ` Pat Thu Nary <br /> 2015 NOTARY PUBLI (name printed or typed) <br /> fJaay HEEc I1ri0enrrCen <br /> • I <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 63 <br /> DECEMBER 28.2010 1 of 7 <br /> • <br />
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