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<br />NON-COLLUSIVE AFFIDA vir <br /> <br />State of Florida) <br /> <br />Miami-Dade <br />County of <br /> <br />Jorge Ferrer <br />and says that: <br /> <br />being tirst duly sworn. 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 informed respecting the preparation and contents of the attached Bid and <br />of all pel1inent 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 paI1ies 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 Bilkler. firm. or person to fix the price or prices in the attached Bid or of any other Bidder. or <br />to tix 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 Islcs Beach. Florida. or any person interested in the proposed Work: <br /> <br />(5) The price or prices quoted in the attached Bid arc f~lir and proper and arc not tainted by <br />any collusion. conspiracy, connivance. or unlawful agreement on the part of the Bidder or any <br />other of its a" Ilts, representatives, owners. employees or parties in interest. including this <br />A ftian!. <br /> <br /> <br />Jorge Ferrer <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Miami-Dade <br /> <br />Sworn to and subscribcd before me this f) .s day of <br /> <br />~c3I~ <br /> <br />~- <br /> <br />.2010 by <br /> <br />Notary Seal: <br /> <br />Notary's Name Printed. Stamped or Typed <br /> <br />Personally Known: <br /> <br />or Produced Identification <br /> <br />... II ... ............... II .... .......... .... ': <br />NINA WHITE : <br />",\'''lflfr''I, Comm# 000815741 E <br />.$',.~YP(;6!.'?: . <br />~fm'f;~ Expires 11/21/2012 E <br />~..}}~~~ . <br />'~,/to"~5S/' Florida Notary Assn., Inc : <br />. 11;":I.l:"~\.,.. .."........................... ..,1 <br /> <br />Identification Produced <br /> <br />I .. <br />