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NON - COLLUSIVE AFFIDAVIT <br />State of Florida ) <br />County of Dade ) <br />HENRY QUINTERO * * * * ** being first duly sworn, deposes <br />and says that: <br />(1) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has <br />submitted the attached Bid; <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 />(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 a <br />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 with <br />any Bidder, firm, or person to fix the price or prices in the attached Bid or of any other Bidder, or <br />to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, <br />or to secure through any collusion, conspiracy, connivance, or unlawful agreement any <br />advantage against the City of Sunny Isles Beach, or any person interested in the proposed Work; <br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by <br />any collusion, co iracy, connivance, or unlawful agreement on the part of the Bidder or any <br />other of its agII,,Tresentatives, // owners, employees or parties in interest, including this <br />Affiant. n . <br />AFFIANT <br />State 0fF1 on d County of Dade <br />Sworn to ands s}'bscribed befo�ree this 21st <br />by ttr�.E i� fUu i ;h f 'eo <br />�j <br />otary's Name <br />Personally Known: [� <br />Identification Produced <br />Golden Strand Pking Lot Fence Bid <br />or Typed <br />HENRY QUINTERO <br />(Printed or Typed Legal Name of Affiant) <br />day of JANUARY , 2003 <br />Albert Hemandez <br />MYCOMMSSM# 00110145 EXMRES <br />September 2z <br />rio <br />tor TMTIorrAr,n d MEY Seal: <br />or Produced Identification <br />Page 10 of 10 <br />