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ISupN•ril
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<br /> I r NON - COLLUSION AFFIDAVIT
<br /> City of Sunny Isles Beach
<br /> _ - r 18070 Collins Avenue
<br /> ,9 ". rt o '00 s% Sunny Isles Beach,FL 33160
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<br /> o• to•' " Telephone:(305)947-0606 Fax:(305)949-3113
<br /> I STATE OF FLORIDA )
<br /> COUNTY OF BROWARD ) 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 /> IThe undersigned is authorized to make this Affidavit on behalf of,
<br /> G. Batista & Associates
<br /> I (Name of Corporation,Partnership,Individual,etc.)
<br /> I
<br /> a LLC Corp formed under the laws of Florida
<br /> (Type of Business) (State)
<br /> ofwhichheis 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 Ci • unny Isles Beach,Florida is directly interested therein.
<br /> This Bid is genuine and not collusive or a sham; -- perso ,firm or corporation •. ed above in Paragraph 10.2 has not colluded, conspired,
<br /> connived or agreed directly or indirectly wit�t a• propos- or person, fi • • corporation, to put in a sham Bid, or that such person,firm or
<br /> I corporation, shall refrain from Bidding, -, not in a• manner, d' 'lyoir indirectlysought by agreement or collusion, or communication
<br /> or conference with any person,firm o • on,to the pri of said Bid or Bids of any other proposers;and all statements contained in
<br /> the Bid or Bids described above tru r er; -either • undersigned, nor the person, firm or corporation named above in Paragraph
<br /> 10.2,has directly or indirectly submiy• • the , tents thereof,or divulged information or data relative thereto,to any association or
<br /> I to any member or agent thereof.
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<br /> �/
<br /> Greg Batista (At/, President
<br /> IAFFIANT'S NAME ill AFFIANT'S TITLE 1
<br /> 1 TAKEN,SWORN ANDS :: CRI. D o :EFORE M' this l day of ,200
<br /> Personally Known or P •duced Id-• cation , jir---
<br /> Type of identification
<br /> (Affix seal here)
<br /> iimilli AV••.
<br /> NO •RY PU!-r. name printed or typed)
<br /> ®WANDA QUINTANA
<br /> MY COMMISSION 3 01)501302
<br /> gXP12Fs:3uy 30,zolz
<br /> I%St3N01ARY
<br /> Fl.NwrY D¢mmi Astor.Co.
<br /> I
<br /> 1 DECEMBER 213.2010 1 of 7
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