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(10-04-01) Prof. Engineering Svcs.
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Civil Works, Inc.
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Last modified
11/18/2010 9:09:42 AM
Creation date
11/17/2010 4:56:46 PM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Prof. Engineering Svcs.
Bid No. (xx-xx-xx)
10-04-01
Project Type (Bid, RFP, RFQ)
RFQ
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<br />#8 <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of Florida) <br /> <br />County of Miami-Dade <br />Linda M. Bell, P.E. <br />and says that: <br /> <br />being first duly swom, deposes <br /> <br />(I) 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 infonned 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, finn, 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, finn, 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 clements 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 />Affiant. <br /> <br /> <br />Linda M. Bell, P.E. <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Miami-Dade j <br /> <br />'bed before me this ;;< '-I day of ~LaL-'\.- <br />o <br /> <br /> <br />,2010 by <br /> <br />Notary Seal: <br /> <br />Notary's Name Printed, Stamped or Typed <br /> <br />Identification Produced <br /> <br />.................... JLI IU.....II.n.....-: <br />: VAUGHN 8QME8 i <br />5 ,$'~I\,UA..., CammI DOlI !II l'Q7 : <br />. ~~gr . <br />:~. . o:-tnG1O: <br />. -.. 7l1f........- . <br />. ~~ ~~~ . <br />a ~~"cr.~\~ Florida Not8ry~...1nc : <br />i).... .':~~~\:..... .............................. <br /> <br />or Produced Identification <br />
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