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<br />NON-COLLUSIVE AFFIDA vIr <br /> <br />State of-prrld,a..- ) <br /> <br />County of '{!;rnuJ ~ ) <br /> <br />-M.lclUJ pj R. F&..tJ(e'1 <br />and says that: <br /> <br />(I) &she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has <br />submitted the attached Bid; <br /> <br />being first duly sworn, deposes <br /> <br />(2) (Heyshe is fully informed respecting the preparation and contents of the attached Bid and <br />of all p~nent 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 />Affi <br /> <br /> <br />Michael R. Fawle P.E. <br />SIGNA TURE OF AFFIANT (Printed or Typed Legal Name of Affiant) <br /> <br />State of ftotr;J()~ County of 3YM~~ <br /> <br />Sworn to and subscribed before me this 25<{.k day of JJ.o....o <br /> <br />,2010 by <br /> <br />-jid<ll.l'./ fie- n, dp'1 <br />~ it MfA<-:t= <br /> <br />Nl{t~r , Name Prmted, Stamped or Typed <br /> <br />V l{'llVl ia L. Va-(evrh we.- <br />Perso1ially Known: )c or Produced Identification _ <br /> <br />Notary Seal: <br /> <br />Identification Produced <br /> <br /> <br />'''''''''' VIRGINIA L. VALENTINE <br />m _.-._of_ <br />l~ 'JJ"'=e:::~~ <br />V~V IandIlI~NIIIanIt""Ma <br /> <br />