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IuNr+r rsr <br /> et:: f•r <br /> Vii <br /> _ NON COLLUSION AFFIDAVIT <br /> l City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> 4.• '•iro"`Yo' Sunny Isles Beach,FL 33160 <br /> o. r„w ' Telephone:(305)947-0606 Fax:(305)949-3113 <br /> I STATE OF FLORIDA ) <br /> COUNTY OF BROWARD ) ) <br /> IThe 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 /> G. Batista & Associates <br /> I (Name of Corporation,Partnership,Individual,etc.) <br /> a LLC Corp ,formed under the laws of Florida <br /> I (Type of Business) (State) <br /> of which he is Greg Batista, President <br /> 1 (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 /> Greg Batista President <br /> IAFFIANT'S NAMEAFFIANT'S TITLE <br /> Ji4_________. <br /> I TAKEN,SWORN AND SU RIBED TO BEFORE ME this day of 200 <br /> Personally Known or Produced Identification <br /> I Type of identification <br /> • <br /> Ill <br /> (Affix seal here) PQ�}�yooa-o= • la <br /> MPI ��SS) ,Ns50 C0 NOTARY "11;11 (name printed or typed) <br /> 4YJAU3V <br /> I <br /> IDECEupFR 28,2010 1 of 7 <br />