J. Bonfill - Laserfiche WebLink

Home Browse Search

I J Bonfill&Associates RFC]#12-04-02 Page 117 I cos"Is/ e os. - \s e +'? -P-�' at- ";1: NON - COLLUSION AFFIDAVIT City of Sunny Isles Beach •.. 79Callus Avenue •s io�`eo+'� Sunny Isles Beach:FL 33160 es.v 'TTelephone:(305)947-0606 Fat(305)949-3113 STATE OF FLORIDA ) I COUNTY OF AD E SAD Inc undersigned being first duly sworn as provided by law,deposes,and says: I 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 he relied upon by said County,in any consiceration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of. Is• BOK) FILL 4 ,+SSSoc,S-rES, Nr.(Name of Corporation,Partnership:Individual.etc.) I a, CO R.PO 12.Ar1 QiJ ,formed under the laws of FL (Type of Business) (State) of which he is JAG(�tLEL161E &OiJFILLGEC- I (Sole Owner.Partner.President.etc.) Neither the undersigned nor any person. firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned,have themselves solicited or employed anyone else to soicit favorable action for this Bid by the City,also that no need of any I department or employee therein,or any officer of the City of Sunny Isles Beach,Florida is directly interested therein. 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, 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 • corporation,shall refrain from Bidding,and has not in any manner.directly or indirectly,sought by agreement or collusion,or communication I 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 the Bid or Bins described above true; and further,neither the undersigned,nor the person,firm or corporation named above In Paragraph 10.2,has directly or indirectly submitted said Bid or the contents thereof,or divulged information or data relative thereto,tc any association or to any member or agent thereof. JACQUEL&E SO'JFILLGEE PRESIDEeJ 1 AFFIANT'S NAME AFF1ANT'S TITLE ITAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this `hday cf Apr1 1 .200/2 . Personally Known k or Produced Identification , Type of identification T Was here) eat`UL�oc 0\ca��// . I NOTARY PUBLIC(name printed or typed) s"7",''. CATHERINE A.SMITH • E Notary Public-Slate of Florida • Ieiis ;-d My Comm.Expires Jan 24.2015 1,,,w0, ,+ Commission s EE 57675 I DECEMBER 2E,201D 1 of - I • . I .