Laserfiche WebLink
<br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />II <br /> <br /> <br />II <br />II <br />. <br />. <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of <br /> <br />~) <br /> <br />County of <br /> <br />)ss <br />IYlilirLL :Thd~ <br /> <br />t:. 6flflCLJtJj NQU)~U. 6fL. <br /> <br />and says that: <br /> <br />being first duly sworn, deposes <br /> <br />(1) He/she is the Owner, Partner, Officer, Representative or Agent of the Bidder that has <br />submitted the attached Bid; <br /> <br />(2) He/she is fully informed respecting the preparation and contents of the attached Bid and <br />of all pertinent circumstances respecting such Bid; <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <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, <br />conspired, connived or agreed, directly or indirectly, with any other Bidder, finn, or <br />person to submit a collusive or sham Bid in connection with the Work for which the <br />attached Bid has been submitted; or to refrain from bidding in connection with such <br />Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or <br />communication, or conference with any Bidder, firm, or person to fix the price or prices <br />in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost elements <br />of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, <br />conspiracy, connivance, or unlawful agreement any advantage against the City of Sunny <br />Isles Beach, or any person interested in the proposed Work; <br /> <br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by <br />any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder <br />or any o~er of its agents, representatives, owners, employees or parties in interest, <br />including this affiant. <br /> <br />Sworn (l to and subscribed );>efore me this <br />r. IQRflcL'o/ No will. ':J(L. who <br /> <br />I J -fh day of ZfJJJLJf1JZv , 2002, by <br />is personally known to me br has provided <br />as identification. <br /> <br />:7/~~ <br /> <br />~/~ <br /> <br />Notary Seal: <br />,l~;rY~ Patricia U. Hull <br />t*r;!':\;i MY COMMISSION' CC746996 EXPIRES <br />~'~-1! June 29, 2002 <br />..,tiif.:r:-~" BONDED THRU TROY fAIN INSUAANCE.INC. <br /> <br />~ YL lffULL <br /> <br />Notary Signature <br /> <br />Page 10 ofl 0 <br /> <br />Request For Proposal Fonn.Doc <br />