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<br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of Florida) <br /> <br />County of Palm Beach) <br /> <br />Martha A. Morgan, President <br />and says that: <br /> <br />being first duly sworn, deposes <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 <br />of 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 />other of its agents, representatives, owners, employees or parties in interest, including this <br /> <br />}mant. -* j) (;-yJ/J <br /> <br />~kU "iliPl~ Martha A. Morgan, President <br />'SIGNA TURE OF AFFIANT) (Printed or Typed Legal Name of Affiant) <br /> <br />State of ):"\ County of~-A\~I:f\lt\ <br /> <br />Sworn to and subscribed before me this d le day of <br /> <br />fy\ oP\ LA <br />\ <br /> <br />,2010by <br /> <br />Personally Known: <br /> <br />/' <br /> <br />or Produced Identification <br /> <br />Notary Seal: ~J' <br /> <br />,''''. SUSAN RILE" ~ <br />'~. ....... ~ MYCOMMISSION#DD9J'...... <br />. 1< EXPIRES: February 2. 2' <br />';. :{'''' Bonded ThN Budget Notary Sr, ,i. <br />."For:~\.Oq:. <br /> <br />0\J\-A<'\~\ \ 1- L.I <br />Notary's Name Printed, Stampe\i or Typed <br /> <br />Identification Produced <br />