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1• <br />I• <br />JAN-09 -03 12:29PM FROM -CITY OF SUNNY ISLES BEACH <br />State of Fl o✓ I o C&_) <br />County of _P� -�c% rc <br />and says that: <br />+30594931►.3 T -159 P.11 /16 F -123 <br />NON-COLLUSIVE AFFIDAVIT <br />being first duly sworn, deposes <br />(1) HeGh I the (Owner, Partne (Officer, epresentative or Agent) of the Bidder that has <br />submitted the attached Bid; <br />(2) l T i she s 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 />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 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 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, profit, 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 <br />advantage against the City of Sunny Isles Beach, or any person interested in the proposed Work; <br />(S) 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 auy <br />other of its agents, representatives, owners, employees or parries in interest, including this <br />Aunt. <br />�, ►'� o s �, <br />SIGNATURE OF AFFIANT (Printed or Typed Legal Name of Affiant) <br />/ 4 <br />State of ' '' County of <br />Sworn to and subscribed before rn`e this day of ? -" 200, <br />by A P'- /%?c��fes� � /-rs,d <br />l�ofary's Name Printed, Stamped or Typed <br />Personally Known: or Produced Identification <br />Identification Produced All ''1'4 <br />Page 10 of 10 <br />Golden Srrand Pkrng Lor Fence Bid <br />Notary Seal: <br />ALAN J. PAOLI <br />MY COMMISSION # CC 8]2003 <br />EXPIRES: September 11, ° Bonded Thru Notary Public Und <br />