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CITY OF SUNNY ISLES BEACH <br />PARKS/MEDIANS/RIGHT-OF-WAY MAINTENANCE <br />NON -COLLUSIVE AFFIDAVIT <br />State of <br />)ss. <br />County of '/�a & ) <br />being first duly sworn, deposes and says <br />that: , Q <br />(1) He/She is the <br />Owner, Partner, Officer, Representative or Agent) of <br />S i the Bidder that has submitted the <br />attached Bid; <br />(2) He/She is fully informed respecting the preparation and contents of the attached Bid and of <br />all pertinent circumstances respecting such Bid, <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br />(4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, <br />employees or parties in interest, including this affiant, have in any way colluded, conspired, <br />connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit <br />a collusive or sham Bid in connection with the Work for which the attached Bid has been <br />submitted; or to refrain from bidding in connection with such Work; or have in any manner, <br />directly or indirectly, sought by agreement or collusion, or communication, or conference <br />with any Bidder, firm, or person to fix any overhead, profit, or cost elements of the Bid or <br />of any other Bidder, or to fix any overhead, profit, or cost elements of the Bid price or the <br />Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, <br />or unlawful agreement any advantage against (Recipient), or any person interested in the <br />proposed Work; <br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any <br />collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any <br />other of its agents, representatives, owners, employees or parties in interest, including this <br />affiant <br />BEDDERS NAME: <br />CONTANY NAME;L <br />