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LI <br />' NON- COLLUSIVE AFFIDAVIT <br />' State of Florida ) <br />County of Broward ) <br />' Shelley Eichner being first duly sworn, deposes and says that: <br />' (1) He /she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has <br />submitted the attached Bid; <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 />' (3) Such Bid is genuine and is not a collusive or sham Bid; <br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, <br />t 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 p erson t o s ubmit 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 i n c onnection w ith s uch W ork; o r h ave i n a ny m anner, <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 secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage <br />against the City of Sunny Isles Beach, or any person interested in the proposed Work; <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 />' Affiant. <br />SIGNATURE OF AFFIANT <br />' State of Florida County of Broward <br />Sworn to and subscribed before me this 18`h <br />Shelley Eichner <br />(Printed or Typed Legal Name of Affiant <br />day of December , 2002 by <br />Notary Seal: <br />Notary's Name Printed, Stamped or Typed <br />' Personally or Produced Identification <br />Known: <br />IIdentification Produced <br />Municipal Contract Services Rfq <br />CYNTHIA VALENCIA <br />ilR• ,� lk y Comm Exp. 11/30/3 <br />f / <br />No CC 867897 <br />M qty Knamr� f 100. I.D. <br />