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NON - COLLUSIVE AFFIDAVIT <br />State of Florida ) <br />)ss <br />County of Palm Beach ) <br />C. Michael Kelsey being first duly sworn, <br />deposes and says that: <br />(1) He /she is the Owner, Partner, Officer, Representative or Agent of the Bidder that <br />has submitted the attached Bid, <br />(2) He /she is fully informed respecting the preparation and contents of the attached Bid <br />and 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, <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 />Bidder, firm, or person to submit a collusive or sham Bid in connection with the <br />Work for which the attached Bid has been submitted; or to refrain from bidding in <br />connection with such Work; or have in any manner, directly or indirectly, sought by <br />agreement or collusion, or communication, or conference with any Bidder, firm, or <br />person to fix the price or prices in the attached Bid or of any other Bidder, or to fix <br />any overhead, profit, or cost elements of the Bid price or the Bid price of any other <br />Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful <br />agreement any advantage against the City of Sunny Isles Beach, or any person <br />interested in the proposed Work; <br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted <br />by any collusion, conspiracy, connivance, or unlawful agreement on the part of the <br />Bidder or any other of its agents, representatives, owners, employees or parties in <br />interest, including this affiant. <br />Sworn to and subscribed before me this 30th day of April , 2004, by <br />C- Michael Kelsey who is personally known to me or has provided <br />known as identification. <br />Notary Seal: <br />Notary Signature 4-,-�- <br />VI V NICOLE VAUDRIN <br />MY COMMISSION # DD 260948 <br />EXPIRES: November 28,2W7 <br />Baided Thru Notary Pudic UndamMers <br />