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<br /> SUNNY/rre
<br /> `
<br /> •_ c NON - COLLUSION AFFIDAVIT
<br /> •
<br /> City of Sunny Isles Beach •
<br /> 18070 Collin Avenue
<br /> C. Co
<br /> � °7• rt'o Sunny Isles Beach,FL 33160
<br /> ",0. sus'� Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA
<br /> COUNTY OF r O4 -,YJ()
<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 /> Vun
<br /> (Name of Corporation, Pa ership, Individual,etc.) F
<br /> a, at ME&( Cep,Inc(A N ,formed under the laws of I .
<br /> ''."jam/ (Type'yyof Business) (State)
<br /> of which he is I / e S i c.A C-h f
<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 dir-ty or indirectly submitted said Bid or the contents thereof,or divulged information or data relative thereto,to any association or
<br /> to an • •- or agent thereof.
<br /> RIC_ Sideof
<br /> AFFIAN 'S NAM:1 AFFIANTS TITLEE,
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this ' Indy of 1^ U-St ,2001(/
<br /> 0
<br /> Personally Known X- _or Produced Identification
<br /> Type of identification
<br /> (Affix seal here)
<br /> --146-fl--146-fl � I
<br /> --146-fl t e r Ld) r\(
<br /> NOTARY PUBLIC(name printed or typed) I
<br /> e°" "% JEANNINE SCARBERRY
<br /> MY COMMISSION M FF994065
<br /> vScfO EXPIRES:May 18,2020
<br /> DECEMBER 28,2010 1 of 7
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