|
<br />NON-COLLUSIVE AFFIDA vIr
<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 />(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 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, finn, 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, fim1, 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 />c~
<br />
<br />
<br />tfJljJ7~
<br />RE 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 />ISth
<br />
<br />day of May
<br />
<br />, 2010 by
<br />
<br />
<br />~
<br />
<br />NotaryS ,1.
<br />l'Jfl:'or.v:fi~.. UNDA S. SCOTECE
<br />... ." MY COMMISSION # DO 711648
<br />~. . . .~} EXPIRES: December 13,2011
<br />"'~iif.'j;.'<f..~' Bonded Thru Notary Public Underwriters
<br />
<br />Linda S, Scotece
<br />Notary's Name Printe ,
<br />
<br />Personally Known: X
<br />Identification Produced
<br />
<br />Or Produced Identification
<br />
|