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SUNNY,SrF <br /> \� NON - COLLUSION AFFIDAVIT <br /> ' -' - City of Sunny Isles Beach <br /> • <br /> 18070 Collins Avenue <br /> ''. , <br /> 91 " Sunny Isles Beach.FL 33160 <br /> o. sus 'a Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA <br /> MIAMI DADE <br /> COUNTY OF <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 /> SOUTHERN UNDERGROUND INDUSTRIES, INC. <br /> (Name of Corporation,Partnership,Individual,etc.) <br /> UNDERGROUND UTILITY CONTRACTOR <br /> a, ,formed under the laws of FLORIDA <br /> (Type of Business) (State) <br /> of which he is VICE 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 /> 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 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 the f. <br /> —`� VICE PRESIDENT <br /> AFFIANT'S N E AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 2 day of MAY ,200 1.6 <br /> Personally Known X or Produced Identification • <br /> Type of identification / <br /> (Affix seal here) MAYRACACaUTAR :�� <br /> !-•i'• NOTARY PUB1JC Mayra C. Aguiar <br /> :10,0:r �—STATE OF FLORIDA NOTARY PUBLIC(name printed or typed <br /> /77, _ DOM*FF069798 <br /> Expires 11/12/2017 <br /> DECEMBER 2e,2010 1 of 10 <br />