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• • y1HNY,rrr • NON - COLLUSION AFFIDAVIT • °NuAalCity of Sunny Isles Beach • a� 18070 Coins Avenue • '..ttIP ��•s su s`Yo•� Sunny Isles Beach,FL 33160 o. Telephone:(305)947-0606 Fax.(305)949-3113 • ® STATE OF FLORIDA ® C COUNTY OF of(A 111 ) The undersigned beirxj first duty sworn as provided by law,deposes,and says: • 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 • relied upon by said County,in any consideration which may give to and any action it may take with reseed to this Bid. • The undersigned is authorized to make this Affidavit on behalf of, • SGM Engineering,Inc. ® (Name of Corporation,Partnership.Individual,etc) • a, Corporation ,fanned under the laws of Florida (Type of Business) (State) • • of which he is Sole Owner/President (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 solicit favorable action for this Bid by the City,also that no head of any 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,fnn or corporation,shall refrain from Bidding,and has not in any manner.directly or indirectly,sought by agreement or collusion,or communication • or conference with any person,firm or corporation,to fa the prices of said Bid or Bids of any other proposers;and all statements contained in the Bid or Bids described above true;and further; neither the undersigned,nor the person, firm or corporation named above In Paragraph 10.2,has directly or intik submitted said Bid or the contents thereof,or divulged information or data relative thereto,to any association or ® to any member or a thereof. • • Tony Shahnami,PE,CxA,FE, S,CHS-Ill SGM President AFFIANTS NAME AFFIANTS TITLE • TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 4s(/day of !)ll(f y 20k ® Personally Known V or Produced Identification • Type of identification ® (Alfa seal here) 4D S me t. Y` LAURIE STRANGIE NO ELIC(name printed or typed) • x NOTARY PUBLIC • -. a ;STATE OF FLORIDA • .�... , Comm#EEl41B85 • Expires 11/13/3016 O O ® DECEMBER 28.2010 1 of 7 0 O 66 •