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• • <br /> 0.kt I(e <br /> ` <br /> ' NON - COLLUSION AFFIDAVIT <br /> ' City of Sunny Isles Beach <br /> 18070 Collins Avenue <br /> :Tit os Sunny Isles Beach,FL 33160 <br /> 0„0- Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA ) <br /> COUNTY OF /4fPµl -1, PrDE <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 /> W ert4 C.. -� corp - <br /> (Name of Corporation,Partnership, ndividual,etc.) /�/� <br /> A <br /> a, G fl" >Qf A4 a� ,formed under the laws of FL-Or b u <br /> c/- (Type bf Business) (State) <br /> of which he is J0L. C ,ec" <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 /> toa y member or agent reof. <br /> Lad 1L+,o--� b rep 2 <br /> AFFIANT'S NAME AFFIANT'S <br /> 7E *t-?ITITLE ��� <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this / day of TE'( ,200jb <br /> Personally Known or Produced Identification , <br /> Type of identification <br /> (Affix seal here) ^y` <br /> NOTARY PUBLIC(name printed or typed) <br /> PATRICIA M.ALMEIDA <br /> SPn <br /> t. MY COMMISSION#fEl96942 <br /> EXPIRES:FEB OB,2019 <br /> Bonded through 1st Stars Insurance <br /> D[cEweER 28,20:0 1 of 7 <br />