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<br />SECTION 10 <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA } <br />COUNTY OF fc.l~ A"'l~~ ~ <br /> <br />The undersigned being first duly sworn as provided by law, deposes, and says: <br /> <br />10.1, This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny <br />Isles Beach City Commission and that it will be relied upon by said County, in any consideration which <br />may give to and any action it may take with respect to this Bid. <br /> <br />10.2. The undersigned Is autho ized to make this ffidavit on behalf of, <br /> <br />o l<.. c-~ ~ <br />(Name of Corporation, Partnership, Individual, etc.) <br /> <br />a, C"V~G-t ""- . formed under the laws of <br />(T pe of Business) <br /> <br />of which he is J 17 6. i J LA-- +- <br />(Sole Owner, Partner, President, etc.) <br /> <br /> <br />FLIJJ ~t'Jc.- <br />(State) <br /> <br />10.3. Neither the undersigned nor any person, firm, or corporation named in above Paragraph 11.2, <br />nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone <br />else to solicit favorable action for this Bid by the City, also that no head of any department or employee <br />therein. or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. <br /> <br /> <br />10.4. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in <br />Paragraph 11.2 has not colluded, conspired, connived or agreed directly or indirectly with any bidder or <br />person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain <br />from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or <br />communication or conference with any person, firm or corporation, to fix the prices of said proposal or <br />proposals of any other bidder; and all statements contained in the proposal or proposals described above <br />true; and further; neither the undersigned, nor the person, firm or corporation named above in <br />Paragraph 11.2, has directly or indirectly submitted said proposal or the contents thereof, or <br />divulged information r a rei. ereto, to any association or to any member or agent thereof. <br /> <br />jJ/t~s I /J ~ ~-r <br />AME IpV'~~k'" ~. ''''i2..~t-l AFFIANT'~ <br /> <br />TAKEN, SWORN AND SU~BED TO BEFORE ME this.LL day of <br /> <br />Personally Known V or Produced Identification . <br />Type of identification / <br /> <br />Z <br /> <br />. 20rf: <br /> <br />(Affix seal h <br /> <br /> <br />; ~. Notary Public State of Florida <br />i ~Ii"'" Ellllnc Moschetti <br />. c ," My Commill!liOl'l DD747355 <br />~ C . Expires 03101/2012 <br />~Of'" <br /> <br /> <br />END OF SECTION <br /> <br />PAGE 56 OF 78 <br />