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<br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA <br /> <br />COUNTY OF MIAMI-DADE <br /> <br />The undersigned being first duly sworn as provided by law, deposes, and says: <br /> <br />1.1. This Affidavit is made with the knowledge and intent that it is to be filed with the City of <br />Sunny Isles Beach City Commission and that it will be relied upon by said City, in any consideration <br />which may give to and any action it may take with respect to this proposal. <br /> <br />1.2. The undersigned IS authorized to make this Affidavit on behalf of, <br />(Name of Corporation, Partnership, Individual, <br />etc.), a corporation duly organized and existing under the laws of the State of <br />of which he is (Sole Owner, Partner, President, etc.) <br /> <br />1.3. Neither the undersigned nor any person, firm, or corporation named in above Paragraph 1.2, <br />nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone <br />else to solicit favorable action for this proposal by the City, also that no head of any department or <br />employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested <br />therein. <br /> <br />1.4. This proposal is genuine and not collusive or a sham; the person, firm or corporation named <br />above in Paragraph 1.2 has not colluded, conspired, connived or agreed directly or indirectly with <br />any Proposer or person, firm or corporation, to put in a sham proposal, or that such person, firm or <br />corporation, shall refrain from Proposing, and has not in any manner, directly or indirectly, sought by <br />agreement or collusion, or communication or conference with any person, firm or corporation, to fix <br />the prices of said proposal or proposals of any other Proposer; and all statements contained in the <br />proposal or proposals described above are true; and further; neither the undersigned, nor the person, <br />firm or corporation named above in Paragraph 1.2, has directly or indirectly submitted said proposal <br />or the contents thereof, or divulged information or data relative thereto, to any association or to any <br />member or agent thereof. <br /> <br />AFFIANT'S NAME <br /> <br />AFFIANT'S TITLE <br />