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• <br /> oNnr rJr <br /> `u+ NON- COLLUSION AFFIDAVIT <br /> q <br /> V\' City of Sunny Isles Beach • <br /> �' 18070 Caine Avenue <br /> 1'1. t°*goo 4� Sunny isles Beams,FL 33160 <br /> o,for Telephone:(305)947-0606 Fax(305)949-3113 <br /> STATE OF FLORIDA FL) <br /> couNTY of Miami•Dade ) <br /> The undersigned being first duly sworn as provided by law,deposes,and says: <br /> This Affidavit is made with the know ledge and Intent that it is to be filed with the City of Sunny isles Beach City Commission and that it wits be <br /> relied upon by said County,In any consideration which may give to and any action it may take with respect to this Bid. <br /> The undersigned is authorized to make this Affidavit on behalf of, <br /> Southern Underground Industries,Inc. <br /> (Name of Corporation,Partnership,Individual,etc.) <br /> a Corporation ,formed under the laws of Florida <br /> (Type of Business) (State) <br /> of which be Is Vice President • <br /> (Sole Owner,Partner.President,etc.) <br /> Neither the undersigned nor eny person, firm, or corporation named In above Paragraph 10.2,nor anyone else to the knowledge of the <br /> undersigned,have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City,also that no head of any <br /> department or employee therein,or any officer of the City of Sunny isles Beach.Florida is directly interested therein. <br /> This Bid is genuine end not collusive or a sham;the person.fine or corporation named above in Paragraph 10.2 has not colluded,conspired, <br /> connived or agreed directly or indirectly with any proposers or person,firm or corporation,to put in a sham Bid,or that such person,firm or <br /> corporation,shall refrain from Bidding,and has not in any manner,directly or indirectly,sought by agreement or collusion,or communication <br /> or conference with any parson,firm or corporation.to fix the prices of said Bid or Bids of any other proposers;and all statements contained in <br /> the Bid or Bids deserted above true;and further;neither the undersigned, nor the person.firm or corporation named above in Paragraph <br /> 10.2,has directly or indirectly submitted said Bid or the contents thereof,or divulged information or data relative thereto,to any association or <br /> to any member or agent thereof. <br /> Juan 6arreneche ,Vice President <br /> AFFI 5 NAME AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this lk day ofle_C `.}J 1 ,20 <br /> Personally Known or Produced Identification 4--. <br /> Type of Identification -\QI r L vc\ ICR-{\S , <br /> (Alfa seal here) . JONNATHAN J.MUF10Z dir_44611 <br /> FJt <br /> NOTARY PUBLIC <br /> 5TA- U tC(name • odor ry i�ad) <br /> STATE OF FLORIDA <br /> ?Commit EE214792 •��� � �v nOZ <br /> eci id`. Expires 718/2016 <br /> • <br /> • <br /> oeoanzR75,2010 1 of 10 <br /> I <br /> 71 <br />