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G. Batista - Traffic
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(12-04-02) Professional Architectural and Engineering Services - Firms Only
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G. Batista - Traffic
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Last modified
2/5/2016 3:39:53 PM
Creation date
2/5/2016 3:39:53 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Professional Architectural and Engin. Svcs
Bid No. (xx-xx-xx)
12-04-02
Project Type (Bid, RFP, RFQ)
RFQ
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1 ..NH,rr, <br /> 0% �o <br /> 1 i �;, NON - COLLUSION AFFIDAVIT <br /> City of Sunny Isles Beach <br /> ')&&t-co-:' 18070 Collins Avenue <br /> • '•r.o�`�o: Sunny Isles Beach,FL 33160 <br /> ' a• .v.• •" Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE 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 /> The undersigned is authorized to make this Affdavit on behalf of, <br /> 1 G. Batista & Associates <br /> (Name of Corporation,Partnership, Individual,etc.) <br /> e LLC Corp fomedunderthelawsof Florida <br /> ' (Type of Business) (State) <br /> of which he is Greg Batista, 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 /> 1 undersigned, have themselves solicited or em•I• ed anyone else to solicit favorable acti•• •r this Bid by the City, also that no head of any <br /> department or employee therein,or any •- -r of th• City of Sunny Isles Beach,F• - is directly interested therein. <br /> This Bid is genuine and not >• •'-ve or a sham:t - person,firm o <-• •oration named above in Paragraph 10.2 has not colluded,conspired, <br /> connived or agreed direct: • nd ectly ith any •roposers o •-rson, firm or corporation, to put in a sham Bid,or that such person,firm or <br /> corporation,shall refrain ' •' Si.. d has of in an anner,directlyor indirecty, sought by agreement or collusion,or communication <br /> or conference with any p: -on,f 1•or. ion,to the prices of said Bid or Bids of any other proposers;and all statements contained in <br /> the Bid or Bids describe, -bov' rth- , neither the undersigned, nor the person, firm or corporation named above in Paragraph <br /> 10.2,has directly or indir-.�y-s pp��11% • or the contents thereof,or divulged information or data relative thereto,to any association or <br /> 1 to any member or agent th: :4� <br /> ��%1Greg Batista �• President <br /> 1 AFFIANT'S NAME / 7 AFFIANT'S TITLE f <br /> TAKEN SWORN AND. s C'TOBEFORE this 1 da of 20Ci <br /> ' � Y <br /> Personally Known or Produced Identifi . ion ,• <br /> 1 Type of identification <br /> (Affix seal here) <br /> ' W ANS A Q1iNT AN A <br /> �1�1. — ..,•D 2012 2 NOTARY L (name printed or typed) <br /> CO. <br /> N\ENTIRES:JoDy j"Assoc.Co. <br /> � FLNontl <br /> 1 . <br /> 1 <br /> DECF••RFR 28.2010 1 of 7 <br />
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