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<br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of <br /> <br />Florida <br /> <br />)ss <br /> <br />County of <br /> <br />Palm Beach <br /> <br />C. Michael Kelsey <br />deposes and saTs that: <br /> <br />being first duly sworn, <br /> <br />... <br />(1) He/she is the Owner, Partner, Officer, Representative or Agent of the Bidder that <br />has submitted the attached Bid; <br /> <br />(2) He/ she is fully informed respecting the preparation and contents of the attached Bid <br />and of all pertinent circumstances respecting such Bid; <br /> <br />(3) Such Bid is gen~line and is not a collusive or sham Bid; <br /> <br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, <br />representatives, employees or parties in interest, including tllis affiant, have in any <br />way colluded, conspired, connived or agreed, directly or indirectly, with any other <br />Bidder, firm, or person to submit a collusive or sham Bid in connection with the <br />Work for which the attached Bid has been submitted; or to refrain from bidding in <br />connection with such \\/ork; or have in any manner, directly or indirectly, sought by <br />agreement or collusion, or communication, or conference with any Bidder, firm, or <br />person to fix the price or prices in tlle attached Bid or of any other Bidder, or to fi.'i: <br />any overhead, profit, or cost elements of the Bid price or the Bid price of any other <br />Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful <br />agreement any advantage against tlle City of Sunny Isles Beach, or any person <br />interested in the proposed Wl ark; <br /> <br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted <br />by any collusion, conspiracy, connivance, or unL'lwful agreement 011 the part of the <br />Bidder or any other of its agents, representatives, owners, employees or parties in <br />interest, including this affiant. <br /> <br />Sworn to and subscribed before me this <br />Co Michael Kelsey who <br />known <br /> <br />'~AAIl'''''~'' <br />~:.t'.-.. ... .l$~ <br />ft: :~ <br />~:~ ~-A~ <br />1IJjf......~- <br />,P,t..~\,. <br /> <br />NICOlE VAUDRIN <br />MY COMMISSION # DO 260948 <br />EXPIRES: November 28, 2f1Jl <br />Banded Thru NalaIy Public UndeIwrlI8rI <br /> <br />10th day of April ,2004, by <br />is personally known to me or has provided <br /> <br /> <br />~~~~ <br /> <br />Notary Signattu'e~h.- \GulL, <br /> <br />Notary Seal: <br /> <br />S\B <br />