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I <br /> `ti?wnr,frEf <br /> I �(( o- z NON - COLLUSION AFFIDAVIT ler <br /> '1 :: City of Sunny Isles Beach <br /> ��I, 18070 Coffins Avenue <br /> it c'' oe Sunny Isles Beach.FL 33160 <br /> 1 '•or sum '~ Telephone:(305)947-0606 Fax:(305)949-3113 <br /> ISTATE OF FLORIDA ) <br /> Orange ) <br /> g <br /> COUNTY OF ) <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 /> I 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 /> I Moore Stephens Lovelace, P.A. <br /> (Name of Corporation,Partnership,Individual,etc.) <br /> a Corporation formed under the laws of Florida <br /> I (Type of Business) (State) <br /> of which he is Shareholder <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 /> 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 /> Idepartment 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 sham;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 /> I 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 /> Shareholder <br /> FFIANT'S NAME AFFIANT'S TITLE <br /> I Daniel J. O'Keefe `n <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this a 9 day of Dec f t'Y}J1" .20L ,c <br /> IPersonally Known )( or Produced Identification .• <br /> Type of identification <br /> 1 (Affix seal h• e) _„ ry PubBc State of Florida <br /> f4,,. 1Ay Commission FF 2130.51 NOT• Y - :LIC(na y1 printed or typ-s <br /> w w again 0005/2019 I <br /> I <br /> I <br /> 0 ec R 23,2010 1 of 7 <br /> 8 B <br />