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<br />NON-COLLUSIVE AFFIDA vIr <br /> <br />. <br /> <br />State of <br /> <br />rtofJ.. ([)IJ <br /> <br />County of ),flAM,'. '[)IfP6 ) <br />M. F k; flfJ'J <br /> <br />CAa./"o~ <br />says that: <br /> <br />(1) ~/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has <br />submi~the attached Bid; <br /> <br />being first duly sworn, deposes and <br /> <br />(2) ~she is fully informed respecting the preparation and contents of the attached Bid and of all <br />pertine~ircumstances respecting such Bid; <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <br />. <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 /> <br />pric or prices quoted in the attached Bid are fair and proper and are not tainted by any <br />iracy, connivance, or unlawful agreement on the part of the Bidder or any other of its <br />sentatives, owners, employees or parties in interest, including this Affiant. <br /> <br />C41/l.kJ6 M. Fk7/lB1 <br />(Printed or Typed Legal Name of Affiant) <br /> <br /> <br />day of 0(;170~61t.. <br /> <br />, 2007 by <br /> <br />Notary Seal: <br /> <br />Notary's Name Printed, Stamped or Ty d <br />Personally Known: ~ or Produced Identification <br />Identification Produced <br /> <br />. <br /> <br />"t~~::""" MARTHA M. POEY <br />l~tIt. NoCIIy. Public: . State of FklrIda <br />~~ . Commission &piw Oct 24. 2010 <br />~ CoIMlIsalu.. , DO &oe694 <br />· ..... NIblII AM <br /> <br />