|
<br />NON-COLLUSIVE AFFIDA VIT
<br />
<br />State of F/o,- Ida )
<br />
<br />County of fvliami - .t.a.de. )
<br />
<br />.:r52L"i2.nd",'ICjUE 1-
<br />says that:
<br />
<br />being first duly sworn, deposes and
<br />
<br />(1) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has
<br />submitted the attached Bid;
<br />
<br />(2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all
<br />pertinent circumstances respecting such Bid;
<br />
<br />(3) Such Bid is genuine and is not a collusive or sham Bid;
<br />
<br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives,
<br />employees or parties in interest, including this affiant, have in any way colluded, conspired, connived
<br />or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a collusive or sham
<br />Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from
<br />bidding in connection with such Work; or have in any manner, directly or indirectly, sought by
<br />agreement or collusion, or communication, or conference with any Bidder, firm, or person to fix the
<br />price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost
<br />elements of the Bid price or the Bid price of any other Bidder, or to secure through any collusion,
<br />conspiracy, connivance, or unlawful agreement any advantage against the City of Sunny Isles Beach,
<br />Florida, or any person interested in the proposed Work;
<br />
<br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any
<br />collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its
<br />agents, representatives, owners, employees or parties in interest, including this Affiant.
<br />
<br />.~~ .JC'JeL i2Ddvi~0e2...
<br />S~~;URE-6~ AFFIANT (Printed or Typed Legal Name of Affiant)
<br />
<br />State of Fto f\ ~ County of t-t; CM""t j .-- \) c~lc
<br />Sworn to and subscribed before me this 13 day of tJ D If ~~/
<br />
<br />~ ell P--o t).-r ; C I
<br />
<br />~ Ii eJ ~~~J(""~
<br />Notary's Name Printed, Stamped or Type
<br />~
<br />Personally Known: _ or Produced Identification _
<br />
<br />, 2007 by
<br />
<br />
<br />Notary Seal:
<br />
<br />",\I'U"" Aliet Guevara
<br />..' ."y PI.; I,
<br />~~~~...t:.....
<br />gr~ >:~~SJMMISSION #DD651761
<br />~":~~.~~,::- t.':PlRtS: MAR. 18,2011
<br />""",~,:;,~"" WWW.AARONNDTARY.com
<br />
<br />Identification Produced
<br />
|