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<br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of Florida) <br /> <br />County of Orange <br /> <br />) <br /> <br />Hao Chau, P.E. <br />and says that: <br /> <br />(1) ~he is the (Owner, Partner, Officer,~resenta~r Agent) of the Bidder that has <br />submitt~e attached Bid; <br /> <br />being first duly sworn, deposes <br /> <br />(2) ~he 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 />~ft <br /> <br />:r-BRE-OF AFFIANT <br /> <br />Hao T. Chau <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Orange <br /> <br />Sworn to and subscribed before me this 25th day of <br /> <br />May <br /> <br />,20l0by <br /> <br />Hao T. Chau <br /> <br />~~Cl. ~ <br /> <br />Marcia A. Cornelison <br />Notary's Name Printed, Stamped or Typed <br /> <br />~y~~ <br />Notary Seal: .R~ '1-. Notary Public State of Florida <br />Marcia A Cornelison <br />~ ~ ~ My CommiSSIOn 00904606 <br />~o, f\."" Expires 09/11/2013 <br /> <br /> <br />Personally Known: <br /> <br />x <br /> <br />or Produced Identification <br /> <br />Identification Produced <br />