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<br />. <br /> <br />. <br /> <br />. <br /> <br />SECTION 10 <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF ) <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. <br /> <br />The undersigned is authorized t~ ma~e this tffidavit on behalf of, <br /> <br />L..t~ L-fl~' k <br /> <br />(Name of poration, Partnership, Ind i ai, etc.) <br /> <br />~ <br /> <br />R~~ <br /> <br />a, <br /> <br /> <br />(State) <br /> <br />formed under the laws of <br /> <br />of which he is <br /> <br />rrYfJ of l3 iness) <br />r Mi;~' <br /> <br />(Sole Owner, Partner, President, etc.) <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, Rorida is directly interested therein. <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 or data relative thereto, to any association ou any member or agent thereof. <br /> <br />Lu k r:.MA ( k 'Z 'Z- c \ (L.!> ~ .t.-J- <br />AFFIANT'S NAME AFFIANT'S TITtf <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this ~ day of U l.~ I 200_7 <br /> <br />Personally Known V <br />Type of identification <br /> <br />or Produced Identification <br /> <br />~ <br /> <br />NOTARY PUBU<((name Qrinted or typed) <br />- <br /> <br />(Affix seal here) ~OTARYPUBUC.sTATEOFFLOR1iJA <br />..........".. Kurt V. Ingram <br />~ ~ jCo~on # DD723885 <br />.~~~..., Exprres. OCT. 19, 2011 <br />BC;SUEO THRU ATLANTIC BONDING CO.. !~'c. <br /> <br />END OF SEmON <br /> <br />PAGE 70 OF 92 <br />BID No. 07-10-04 <br />