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<br /> O e
<br /> ti; NON - COLLUSION AFFIDAVIT
<br /> •
<br /> ®
<br /> v 11•. ..,-_,. ../.
<br /> ry/ City of Sunny Isles Beach
<br /> ® " .f�_�Y 19070 Collins Avenue
<br /> �/ •.nog' o>- Sunny Isles Beach,FL 33160
<br /> ® 'o.•ux'•'"- Telephone:(305)947-0606 Fax(305)949-3113
<br /> ® STATE OF FLORIDA )
<br /> COUNTY OFiif:1 Jp__ )
<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 /> ® The undersigned is authorized to make this Affidavit on behalf of,
<br /> ® Savino & Miller Design Studio, P.A.
<br /> ® (Name of Corporation,Partnership,Individual,etc.)
<br /> ® a, corporation formed under the laws of Florida
<br /> ® (Type of Business) (State)
<br /> ® of which he is 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 /> 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 /> ®
<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 pham;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 /> ® 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 /> ® to any member or agent thereof.
<br /> ® Adriana Savino-Miller President
<br /> AFFIANTS NAME AFFIANTS TITLE
<br /> O TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 9th day of April ,2012
<br /> O Personally Known or Produced Identification ✓ ,
<br /> ® Type of identification F- OL 4 4 6 0-00-7 'SZo-S-Q(o
<br /> ® (Affix seal here) � �'�)
<br /> ® NOTARY PUBLIC(name prin or typed)
<br /> ® ( ..„•3.18;;;„. CRISTIANA GRULLON I
<br /> ® 1 1.1
<br /> 3 .e Notary Public-State of Florida. I
<br /> ( 2, �_ My Comm.Expires Aug 26,2015 )
<br /> ® ( '',?«,, •• Commission FEE 100586 I
<br /> 0 DECEMBER 28.2010 1 of 7
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