|
<br />.
<br />
<br />.
<br />
<br />.
<br />
<br />NON-COLLUSIVE AFFIDAVIT
<br />
<br />State of
<br />
<br />Flori~a _)
<br />Miami-Dade
<br />
<br />County of
<br />Yvette A, Aleman, P,E,
<br />
<br />being first duly swum. deposes
<br />
<br />and says that
<br />
<br />(1) Helshe is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has
<br />submitted the attached Bid; President I Owner
<br />
<br />(2) lIelshe is fully informed respecting the preparation and contents of the aunched Bid and
<br />of all peltinent circul11stwlces respecting such Bid;
<br />
<br />(3) Such Hid is genuine and is not a collusive or sham Bid;
<br />
<br />(4) Neithcr the said bidder nor any of its officers, partners, owners, agents, representatives,
<br />employees or parties in interest, including this affiw1.t, have in any way colluded, conspired,
<br />cOlUlived or agreed, directly ur indirectly, with any other Bidder, firm, or person to submit a
<br />collusive or sham Bid in connection witil the Work for which the attached Bid has been
<br />submitted; or to reti'ain from bidding in connection with such Work; or have in any mmmer,
<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 clements of Ule Bid price or the Bid price of any other Bidder,
<br />or to secure Ull'ough 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 />
<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 'gents, rcpre ntatives. owners, employees or parties in interest, including this
<br />Affiant.
<br />
<br />
<br />YVETTE A. ALEMAN. P,E,
<br />
<br />(Printed or Typed Legal Name of Affiant)
<br />
<br />State of FIQ!:id County of Miami-Dade
<br />Swom to and subscribed before me this 24
<br />
<br />day of April
<br />
<br />, 2007 by
<br />
<br />
<br />N t S I ~y 'v. Sandra Mille'
<br />o ary ea: !'..., <t: Wr; Comm.sslon 00259600
<br />
<br />,,~ .
<br />1't~; "./ Explles october 19 2007
<br />
<br />Sandra Miller
<br />
<br />, St.amped or Typed
<br />
<br />Personally Known:
<br />
<br />x
<br />
<br />or Produced IdentificatiulI _ Type: _
<br />
<br />Page 9 or 9
<br />RFQ 07-03-01 Engineering Srvs Bridge Revised (Addendum. I)
<br />
|