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<br />
<br />NON-COLLUSIVE AFFIDA vir
<br />
<br />State of Georgia
<br />
<br />County of Fulton
<br />
<br />Ellen Heath, ArCp
<br />
<br />. being first duly sworn, deposes and says that:
<br />
<br />(I) 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
<br />or all 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,
<br />connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a
<br />collusive or sham Bid in connection with the Work for which the attached Bid has been
<br />submitted; or to refrain from bidding in connection with such Work; or have in any manner,
<br />directly or indirectly, sought by agreement or collusion, or communication, or conference with
<br />any Bidder, firm, or person to fix the price or prices in the attached Bid or of any other Bidder, or
<br />to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder,
<br />or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage
<br />against the City of Sunny Isles Beach, 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
<br />any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any
<br />oth r of its agents, representatives, owners, employees or parties in interest, including this
<br />Aft t
<br />
<br />
<br />'-
<br />
<br />Ellen Heath, AICP
<br />(Printed or Typed Legal Name of Affiant)
<br />
<br />State of Georgia County of Fulton .
<br />Sworn to and subscribed before me this Iii I, day of "')e IW {Y\ he {
<br />
<br />f'i If (\ ~ ct'-i i,~,
<br />kJc...ItCLC ell j\.L CJ-{'LLU IlJ2J1(j
<br />
<br />~Q r 0 I'd, (\.z L (\ l"ur () I' C (
<br />Notary's Name Printed, Stamped or Typed
<br />./
<br />
<br />, 2007 by
<br />
<br />Notary Seal:
<br />
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<br />~-<Q .
<br />~+~rON
<br />
<br />Personally Known:
<br />
<br />or Produced Identification
<br />
<br />Identification Produced
<br />
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