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<br />NON-COLLUSION AFFIDAVIT <br /> <br />Moving Services for Village Hall and <br />Police Department <br /> <br />STATE OF FLORIDA <br /> <br />} <br />) <br />) <br /> <br />COUNTY OF MIAMI-DADE <br /> <br />TIM KENNEDY <br /> <br />being first duly sworn, deposes and says that: <br /> <br />(1) He/She/They is/are the REPRESENTATIVE <br />(Owner, Partner, Officer, Representative or Agent) of <br /> <br />BELTMANN GROUP, INC. <br />Bid; <br /> <br />the BIDDER that has submitted the attached <br /> <br />(2) He/SheIThey Isfare fully infonned respecting the preparation and contents of the attached Bid <br />and 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, conspired, <br />connived or agreed, directly or indirectly, with any other BJDDER, 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 />direcUy or indirectly, sought by agreement or collusfon, or communication, or conference with <br />any BIDDER, firm, or person to fix any overhead, profit, or cost elements of the Bid or of any <br />other BIDDER, or to fix any overhead, profit, or cost elements of the Bid Price or the Bid Price <br />of any other BIDDER, or to secure through any collusion. conspiracy. connivance. or unlawful <br />agreement any advantage against (Recipient), or any person interested in the proposed <br />Work; <br /> <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 1he BIDDER or any <br />other of its agents, representatives, owners, employees or parties of Interest, including this <br />affiant <br /> <br /> <br />In the presence of: <br /> <br />/ <br /> <br />By7-~ ~ <br /> <br />Signat~r€ <br />I <br />TIM KENNEDY ASSISTANT GENERAL HAMAGER <br />Print Name and Title <br />8/20/04 <br />Date <br /> <br />10 <br /> <br />SIB <br />