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' Architecture' 6-5 <br /> I <br /> sN Y^F <br /> o, 7 ^-- ,, <br /> �" Q I <br /> NON - COLLUSION AFFIDAVIT <br /> V� City of Sunny Isles Beach <br /> ,-. 18070 Collins Avenue <br /> ‘ •r sops <br /> ' + <br /> • <br /> Sunny Isles Beach,FL 33160 <br /> ' op sum Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA ) <br /> COUNTY OF Miami-Dade) I <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 /> 1 The undersigned is authorized to make this Affidavit on behalf of, <br /> Atkins North America, Inc. <br /> (Name of Corporation,Partnership.Individual,etc.) <br /> 1 a, corporation ,formed under the laws of Florida <br /> (Type of Business) (State) <br /> I of which he is Senior Vice President <br /> (Sole Owner,Partner,President,etc.) <br /> I 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 /> I 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 /> Ito any ember or agent thereof. <br /> 4--^ <br /> Seniorelir e President <br /> 1 NT'SNAME AFFIANTSTITLIE <br /> Or Carter, CCM <br /> I TAKEN.SWORN AND SUBSCRIBED TO BEFORE ME thisl8th day of April .2012 <br /> Personalty Known V or Produced Identification <br /> I Type of identification <br /> _ n <br /> (Affix seal here) <br /> W`d)aa <br /> NOT PUBLIC(name prince or typed) <br /> ll tmilisibraSilba <br /> 1 ozr'. JULIAFORBIONE 1 Julia Forgione <br /> • <br /> ?J' '- t Notary Public-State of Florida <br /> rr""�:��•�� a My Comm.Expires Nov 4.2015 <br /> l• �r dr Commission 0 EE 137344 <br /> Bonded Through National Notary Assn. <br /> lflorflenrillamegb <br /> I <br /> DECEMBER 29.2010 1 of 7 <br /> I0006.027944.0512 Atkins I City of Sunny Isles Beach, RFQ No. 12-04-02 <br />