Laserfiche WebLink
• <br /> sero <br /> o.ttri <br /> NON - COLLUSION AFFIDAVIT <br /> :. City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> s,r •i.;to.` Sunny Isles Beach,FL 33150 <br /> o, sus '� Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA <br /> COUNTY OF B ROWAPO ) ) <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 /> (N-tERtj. por.1AL Limo OFGotnrti FLog1aq (- c <br /> (Name of Corporation,Partnership, Individual,etc.) <br /> • <br /> a,Li M o t BuS TeAkiS?or-rgTI OK(formed under the laws of Flo R 1 p A <br /> (Type of Business) (State) <br /> of which he is MA kiA GES <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 /> 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 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 /> 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 fa 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 /> Jos“7H N • PN 1 Lox / M q,Jf}G EFS <br /> AFFIANTS NAME AFFIANTS TITLE <br /> UICV <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this Or� <br /> day of ,200_ <br /> Personally Known or Produced Identification• • <br /> I ., <br /> Type of ideni '•• _ =1= <br /> r%' CHELDA <br /> 18YBeaif<•i � Commission 0 FF <br /> (Afizse •{ M� Commission E.D <br /> Iodtraf <br /> nh ,IGI/A !P1 / /i J�NOT Y PUBLIC(name prints <br /> oerp type ipie` Decembe . <br /> Decoeex 28.7010 1 of 7 <br />