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NON - COLLUSIVE AFFIDAVIT <br />State of Florida ) <br />)ss <br />County of Palm Beach _) <br />Gary Hennin s - being first duly sworn, <br />deposes and says that: !r <br />(1) He /she is the (Owner, Partner, Officer, Representative or Agent) of the respondent <br />that has submitted the attached Proposal; <br />(2) He /she is fully informed respecting the preparation and contents of the attached <br />Proposal and of all pertinent circumstances respecting such Proposal; <br />(3) Such Proposal is genuine and is not a collusive or sham Proposal; <br />(4) Neither the said respondent nor any of its officers, partners, owners, agents, <br />representatives, employees or parties in interest, including this affiant, have in any <br />way colluded, conspired, connived or agreed, directly or indirectly, with any other <br />Proposer, firm, or person to submit a collusive or sham Proposal in connection <br />with the Work for which the attached Proposal has been submitted; or to refrain <br />from proposing in connection with such Work; or have in any manner, directly or <br />indirectly, sought by agreement or collusion, or communication, or conference <br />with any Respondent, firm, or person to fix the price or prices in the attached <br />Proposal or of any other Respondent, or to fix any overhead, profit, or cost <br />elements of the Proposal price or the Proposal price of any other Respondent, or <br />to secure through any collusion, conspiracy, connivance, or unlawful agreement <br />any advantage against the City of Sunny Isles Beach, or any person interested in <br />the proposed Work; <br />(5) The price or prices quoted in the attached Proposal are fair and proper and are not <br />tainted by any collusion, conspiracy, connivance, or unlawful agreement on the <br />part of the Proposer or any other of its agents, representatives, owners, employees <br />or parties in interest, including this affiant. <br />Sworn to and subscribed before me this 17th day of January , 2002, by _ <br />Gard Hennings who is personally known to me or has <br />nrovided as <br />identification. <br />Notary Seal: <br />l <br />Notary Signature <br />- dfF1CI.�i NOTARY SEAL <br />Commission Expires: BETH HERSHOCK <br />Commission No.: NOTARY PUBLIC STATE OF FLORIDA <br />COMMISSION NO. DD011984 <br />Y COMMISSION EXP. APR. 20 2005 <br />Page 10 of 10 <br />Rfq 01 -12 -02 Construction Management Srvs <br />1115102 6:50 PM <br />