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<br />NON-COLLUSIVE AFFIDA VIT
<br />
<br />State of Florida
<br />
<br />County of Broward )
<br />
<br />Francisco A. Norona, President, Beiswenger, Hoch & Associates, Inc. being first duly sworn,
<br />deposes and says that:
<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, firnl, or person to fix the
<br />price or prices in the attached Bid or of another Bidder, or to fix any overhead, profit, or cost elements
<br />of the Bid price or the Bid price of any other Bidder, or to secure through an collusion, conspiracy,
<br />connivance, or unlawful agreement any advantage against the City of Sunny Isles Beach, Florida, or
<br />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 />7/11j/ tf}1J>1.c
<br />;SIGNA TU E OF AFFIANT
<br />
<br />Francisco A. Norona, President
<br />(Printed or Typed Legal Name of Affiant)
<br />
<br />State of Florida
<br />
<br />County of
<br />
<br />Broward
<br />
<br />Sworn to and subscribed before me this
<br />
<br />18th
<br />
<br />day of May
<br />
<br />,201Oby
<br />
<br />Francisco A. Norona, President
<br />
<br />.t/
<br />
<br />
<br />UNDA S. SCOTECE
<br />MY COMMISSION # DO 711648
<br />EXPIRES: December 13, 2011
<br />Bonded ThI\J Notary Public Underwriters
<br />
<br />Linda S. Scotece
<br />Notary's Name Prin
<br />
<br />Personally Known: X
<br />Identification Produced
<br />
<br />Or Produced Identification
<br />
<br />Notary ,c;.~tl~~...,
<br />"~~1:~'
<br />~:~~~)
<br />~.~iif.~~"
<br />
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