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' FROM : AYLWARD FAX NO. : 9544245 @52 <br />FES -06 -03 01:01 tt FqW -CITY 0: MNY ISLES BEXCM +30564;73113 <br />2MMCOMUSIVE AMpAM <br />State of 1 <br />County of -A)Cz S 'C'_ <br />Feb. 07 2003 09:30AM P10 <br />T -081 P.10 /10 F -338 <br />being first duly sworn, deposes <br />and says that: <br />(1) Hgf_hs is the y( Ownet, Partner, Officer. Representative or Agent) of the Respondee that <br />has submitted the attecbed Response; <br />(2) He /she is My informed respecting the preparation and contents of the attached Response <br />and of all pertinent circumstances respecting such Response; <br />(3) Such Response is genuine and is not a collusive or sham Response; <br />(4) Neither the said :espondee nor any of its officers, parmers, owners, agents, <br />representatives, employees or parries in interest, inchding this afflant, have in any way colluded, <br />conspired, connived or agreed, directly or indirectly, with any other Respondee, firm, or person <br />to s ubmit a c ollucive o r s ham R espouse i n c onneetion w ith t he W ork f or w hich t he attached <br />Response has been submitted; or to refrain from responding in connection with such Work; or <br />have in any manner, directly or indirectly, sought by agreement or collusiou, or CC>ZrimUnication. <br />or conference with any Respondee, firm, or person to fix the price or prices in the attached <br />Response or of any other Respondee, or to fix any overhead, profit, or cost elements of the <br />Response price or the Response price of any other Respondee, or to secure through ap_y <br />collusion, conspiracy, connivance, or unlawful agmeirent any advantage against the City of <br />Sunny Isles Beach. or any person interested in the proposed Work; <br />(5) The price or prices quoted in the attached Response are fair and proper and are not tainted <br />by any collusion, conspiracy, connivance, of unlawful agreement on the part of thr Respondee or <br />any other of iT1 agents, representatives, owners, employees or parries in interest, including this <br />AM 7t. <br />/ J <br />SIGNATURE O): FIANT (Printed or Typed gal Natnc. of <br />State of � e Counry of _ nj , <br />Sworn and subscribed�b ore me this �"j day of z , 200by <br />' r � <br />Notary's Name Printed, Stamped or Typed <br />Personally Known; or Produced Identification <br />Identification Produced <br />9 <br />Notary Seal: <br />f+" Evel c <br />1k Velyn A Maft <br />COn""on CC882530 <br />EVWft August 12, 2003 <br />