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(09-05-01) Threshold Insp. Svcs. for Heritage Park Pkg. Garage
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MEP Structural
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Last modified
11/19/2010 3:15:16 PM
Creation date
11/19/2010 3:15:09 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Threshold Insp. Svcs. for Heritage Pkg.
Bid No. (xx-xx-xx)
09-05-01
Project Type (Bid, RFP, RFQ)
RFQ
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<br />, I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I_- <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />NON-COUUSWE AFFIDA VIT <br /> <br />State of <br /> <br />Florida) <br /> <br />County of Broward ) <br />Salvatore J. Giorlando <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 Bi<,l 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 colUlection with the Work for which the attached Bid has been <br />submitted; or to refrain from bidding in ,coIUlection 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 <br />advantage against the City of Swmy Isles Beach, Florida, or any person interested in the <br />proposed Wark; <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 />~fiant\ A( <br />~\J ~ ~alvatore J. Giorlando <br /> <br />SIGNA'fll!l!J 6f ~.~ed ~~gal Name ofM!ml!L-. <br /> <br />State of Florida of County of B rowa rd <br /> <br />Sworn to and subscribed before me this 17th day of June ,2009 by <br /> <br />Salvatore J, Giorlando <br /> <br />~11A/J(~. <br /> <br />~~ M Pi- <br /> <br />Notary Seal: <br /> <br />...'-;;"~'r~"'" BARBARA CAMPARSCONE <br />!:~'\-J;,,!f:~;~ MY COMMISSION #,00 696297 <br />~~:.~:if.i EXPIRES: October 13, 2011 <br />'-1.:'l:I/....I"*"" Bonded Thru Notary Public Unde""iter, <br />, f",' <br /> <br />Notary's Name Printed, Stamped or Typed <br />Personally Known: ~ or Produced Identification_ <br /> <br />Identification Produced <br /> <br />Page 13 <br />
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