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<br /> NON - COLLUSION AFFIDAVIT
<br /> ® City of Sunny Isles Beach
<br /> 18070 Cothns Avenue
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<br /> i'e 0sx•r to•go1.
<br /> o eSunny Isles Beach,FL 33160
<br /> ,•o, ms•� Telephone:(305)947-0606 Fax:(305)949-3113
<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 /> Coastal Systems International, Inc .
<br /> (Name of Corporation,Partnership,Individual,etc.)
<br /> a. Corporation formed under the laws of Florida
<br /> (Type of Business) (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 /> ® 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 •••-coy or indirectly submitted sai• Bid or the contents thereof,or divulged information or data relative thereto,to any association or
<br /> to any mej• =gent thereof.
<br /> 0
<br /> 'MI de a j J - t.! President
<br /> AFFIANT'SNAME Harve Sasso AFFIANT'S TITLE
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 27 day of Apr].1 20e2
<br /> Personally Known X or Produced Identification ,•
<br /> Type of identification
<br /> (Affix seal here) Vanessa Russi-Machado
<br /> NOTARY PUBLIC(name printed or typed)
<br /> COSY•W- Notary Pudic State of Florida
<br /> Vanessa Russi-Machado
<br /> y Y it My Commission 8E017222
<br /> 'Sandi` Expires 10/142014
<br /> 4111
<br /> OECE,MBER 28,2010 1 of 7
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