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<br /> NON - COLLUSION AFFIDAVIT
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<br /> City of Sunny Isles Beach
<br /> 18070 Cdlins Avenue
<br /> Sunny Isles Beach,Ft. 33160
<br /> o. sum Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FEARIDk South Carolina
<br /> )
<br /> COUNTY OF York
<br /> The undersigned being first duly sworn as provided by law,deposes,and says:
<br /> This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will 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 /> Sunbelt Rentals, Inc.
<br /> (Name of Corporation,Partnership,Individual,etc.)
<br /> a, corporation ,formed under the laws of North Carolina
<br /> (Type of Business) (State)
<br /> of whithe is an Authorized Representative
<br /> (Sole Owner,Partner,President.etc.)
<br /> Neither the undersigned nor any 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 and not collusive or a sham;the person,firm 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 person,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 described 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 /> Sr. Customer Contract Manager
<br /> AFFIANT' N AFFIANT'S TITLE
<br /> SteplInie Ransone
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 22 day of August ,20316
<br /> Personally Known X or Produced Identification •
<br /> Type of identification n/a
<br /> (Affix seal here) Lnrisuna Pasquarelli C,Q-,�,_,—� Z3.92\
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<br /> MteyRtic,StatedSotts�,rhg NOTARY PUBLIC(name printe or typed)
<br /> My Cal>missien Expires June 19,2025
<br /> OECO.BER28,2010 _ 1 of 7
<br /> SIB
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