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<br />SECTION 10
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<br />NON-COLLUSION AFFIDAVIT
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<br />STATE OF FLORIDA
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<br />COUNTY OF MII\r1I-V(.\t?6
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<br />The undersigned being first duly sworn as provided by law, deposes, and says:
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<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.
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<br />10.2. The undersigned is authorized to make this Affidavit on behalf of,
<br />
<br />~PriaHY(2.- LorJOS-<.A (J,,.JV, ~ &A~,.J So,wtc6,:t.Nc...
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />
<br />a, &1Z-po~T~ , formed under the laws of -V~ OA
<br />(Type of Business) (State)
<br />
<br />?(2e ( 06"r\"
<br />
<br />of which he is
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<br />(Sole Owner, Partner, President, etc.)
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<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.
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<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 or to any member or agent thereof.
<br />
<br />()?lA-~ ~ r?~H:::>-Lo~
<br />AFFIANT'S NAME AFFIANT'S TITLE
<br />
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this ~th- day of O~~~
<br />
<br />Personally Known './ or Produced Identification
<br />Type of identification
<br />
<br />, 2001-
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<br />
<br />(""'"11', MARIA VALDES
<br />l~m'~~Y Pv';~.~ Notary Public. State of Florida
<br />~. . E My Commis8\OII Expires Od 25.2011
<br />\~ ~~i Commission' 00 729259
<br />',:f"9r.t,,,\\\' Bonded Through NatiOnal Notary Aan.
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<br />PAGE 70 OF 92
<br />BID No. 07-10-04
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