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LIVS Assoc.#4
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(10-04-02) Prof. Architectural Svcs.
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LIVS Assoc.#4
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Last modified
12/1/2010 9:47:15 AM
Creation date
12/1/2010 9:42:53 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Architectural Svcs.
Bid No. (xx-xx-xx)
10-04-02
Project Type (Bid, RFP, RFQ)
RFQ
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<br />r <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of Florida) <br /> <br />County of Dade) <br /> <br />F. Antonio RosabaL A.I.A.. <br />and says that: <br /> <br />being first duly sworn, deposes <br /> <br />(I) I-Ie/she is the (Owner, Partner, Oflicer. Representative or Agent) of the Bickler that has <br />submitted the attached Bid: <br /> <br />(2) Hclshe is fully informed respect i ng thc preparation and contents of the attached Bid and <br />of all pertinent circumstances respecting such Bid: <br /> <br />(3) Such Bid is gcnuine 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 Bickler, firm, or person to submit a <br />collusive or sham Bid in connection with the Work for which the attached13id 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, pro lit, 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 proposecl Work: <br /> <br />(5) The price or prices quoted in the attached Bid are f~lir and proper and are not tainted by <br />any collusion, conspiracy, connivance, or unlawful agreement on the part ol'the Bidder or any <br />other of its agents, representatives, owners, employees or parties in interest including this <br />fIi, n. <br /> <br /> <br />F. Antonio RosabaL A.1. A.. Principal <br />(Printed or Typed Legal Name of Afliant) <br /> <br />State of Florida County 01' Dade <br />Sworn to and subscribed before me this _25 day of <br /> <br />~c~~.Y.;~<l{/C' IRALDY MARTIN <br />.. . MY COMMISSION' DO 968426 <br />.. ~ EXPIRES: March 7, 2014 <br />";0 :<>~ Banded Tlo.. "'..... ""'~ Selvices <br />-9r~Off\.dl' ilK"......,.. '~I <br /> <br />Mav <br /> <br />, 20 I 0 by <br /> <br />Notary Seal: <br /> <br />Notary's Name Printed, Stamped or Typed <br /> <br />Personally Known: <br /> <br />~ <br /> <br />or Produced Identification <br /> <br />Identilication Produced <br />
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