Laserfiche WebLink
IS $N• ,S,F <br /> 7^`i <br /> NON - COLLUSION AFFIDAVIT <br /> �; ..`�: City of Sunny Isles Beach <br /> ; 18070 Collins Avenue <br /> 1 4. •'•r.0000� Sunny Isles Beach,FL 33160 <br /> 'os •u•• ''• Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ISTATE OF FLORIDA ) <br /> COUNTY OF BROWARD ) ) <br /> 1 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 /> IG. Batista & Associates <br /> (Name of Corporation,Partnership,Individual,etc.) <br /> a LLC Corp formed under the laws of Florida <br /> (Type of Business) (State) <br /> of which he is Greg Batista, President <br /> 1 (Sole Owner,Partner,Presid-nt,etc.) <br /> Neither the undersigned nor any person, firm, or • •oration amed in above Paragraph 10.2, nor anyone else to the knowledge of the <br /> I undersigned, have themselves solicited or emplo anyone -Ise to solicit favorable action for this Bid by the City, also that no head of any <br /> department or employee therein,or any officer• the City of•unny Isles Beach,Florida is directly interested therein. <br /> This Bid is genuine and not collusive or a 7.-• ; the p' on,firm or corporation named above in Pyagraph 10.2 has not colluded,conspired, <br /> connived or agreed directly or indi _ ly ith - y pr.sosers or person, firm or corporation, to •- In a sham Bid,or that such person, firm or <br /> I corporation,shall refrain from BT•ding •nd h- n• In any manner,directly or indirectly, s..•ht by agreement or collusion, or communication <br /> or conference with any perso firm . rpo=ti• ,to fix the prices of said Bid or Bids • any other proposers;and all statements contained in <br /> the Bid or Bids described a••ve t . - •pi• er; neither the undersigned, nor -- person, firm or corporation named above ins Paragraph ' <br /> 10.2,has directly or indirect) sub. • . Id or the contents thereof,or d' •ged information or data relative thereto,to any association or <br /> Ito any member or agent the.-of if <br /> Greg Batis •a *resident <br /> IAFFIANT'S NAME _ 1 -FFIANT'S TIT E <br /> / v <br /> ITAKEN,SWORNAND S • a•• TO BEFOR• ME this day of A ,200_ <br /> Personally Known or Produced dent'cation I ' <br /> Type of identification <br /> N...__ a <br /> (Affix seal here) S <br /> 111, <br /> Ass <br /> INOTARY PU—IC(name printed or typed) <br /> • 4/AND- - ,,,upaoo2 <br /> I e MY COS MISSlO 2012 <br /> EN?isEs:I*30. Co. <br /> 'Fr•:t Fl.Sxwn Disr�fl Assam <br /> IRW}W1Wiv <br /> I • <br /> IDECFueFR 26.2010 1 of 7 <br />