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ISUHNT 9:55
<br /> 7_ NON - COLLUSION AFFIDAVIT
<br /> V
<br /> ' � .� City of Sunny Isles Beach
<br /> " •+ 18070 Collins Avenue
<br /> �.� '• rro�` a+� Sunny Isles Beach,FL 33160
<br /> 17,a, sus 'r Telephone:(305)947-0606 Fax:(305)949-3113
<br /> ISTATE OF FLORIDA )Florida)
<br /> COUNTY OFMiami 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 /> IThe undersigned is authorized to make this Affidavit on behalf of,
<br /> ICES Consultants, Inc.
<br /> (Name of Corporation, Partnership, Individual,etc.)
<br /> a, corporation ,formed under the laws of Florida
<br /> I (Type of Business) (State)
<br /> of which he is Sole Owner
<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 /> 1 to any member or agent thereof.
<br /> Rudy M. Ortiz, P.E., CGC CEO
<br /> IAFFIANT'S NAME AFFIANT'S TITLE /
<br /> I TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this I day of kA6-A4 2042.
<br /> Personally Known y// �`7 or Produced Identification ,
<br /> IType of identification ��� n /
<br /> (Affix seal here) / �/
<br /> I (NOTARY PUBLIC m printe or typed)
<br /> CHRISTINE MANYOK
<br /> "' NOTARY PUBUC
<br /> 11 �'``+:,
<br /> � .S'.-.: Le STATE OF FLORIDA
<br /> '"` b , 'i Comm#DD0918218
<br /> >: :
<br /> a.Y,,. Expires 9/12/2013
<br /> II
<br /> 1
<br /> City of Sunny Isles Beach Continuing Professional Architectural&Engineering Services RFQ 12-04-02 I 42
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