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I <br />CITY OF SUNNY ISLES BEACH <br />PARKS /MEDIANS /RIGHT -OF -WAY MAINTENANCE <br />1 State of <br />County of _z <br />NON - COLLUSIVE AFFIDAVIT <br />)ss. <br />eaO, ✓ %L being first duly sworn, deposes and says <br />that: <br />(1) He /She is the / F 5 c) F-A2 7— <br />Owner, Partner, Officer, Representative or Agent) of <br />' 5C_"_/6n14 the Bidder that has submitted the <br />attached Bid; <br />(2) He /She is fully informed respecting the preparation and contents of the attached Bid and of <br />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 <br />a 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 <br />with any Bidder, firm, or person to fix any overhead, profit, or cost elements of the Bid or <br />of any other Bidder, or to fix any overhead, profit, or cost elements of the Bid price or the <br />Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, <br />or unlawful agreement any advantage against (Recipient), or any person interested in the <br />proposed Work; <br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any <br />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 />C It / • <br />COMPANY NAMEC � f,- G,r���-iii e- <br />