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<br />NON-COLLUSIVE AFFIDAVIT <br /> <br />. Stntc of Florida ) <br /> <br />County of rvt I firm j. OA~ <br /> <br />~N C~N.e..C2- __ being first duly sworn. deposes <br />and says that: <br /> <br />(l) ~he is the: (Owner. Partner, Officer. Representative or Agent) of the Bidder that has <br />submitted the attJM:hc:d Bid; President I Owner <br /> <br />(2) .A::]she is fully informed re"pectlog the pr.eparation 8Dd oonlenu of tlle attached Bid and <br />of all~~t ciJ:cumsWlcCs rcspeding such Bid; <br /> <br />(3) Such Bid is genuine and is not B collusive at sham Bid~ <br /> <br />(4) Neither the said bidder nor any of its officel1l. partners. ownen. agents. reprmentatives, <br />employees Of parties in interest. including this affiant, have in any way colluded. conspired, <br />connived or agreed. dim:tJy or indin:ctly, with any other Bidder. fllIll. o.r person to submit a <br />collusive or 8hatn Bid in connection with the Work for which the attached Bid h. been <br />lIubmitted: or to t'Cfrain from bidding in connection with such Work; QI" have in any mmmer. <br />directly or indinlctJy, lIOugbt by agreement or collusion. or communication, or conference with <br />any Bidder. fmn. or penon to fi~ the price or prices in the attached Bid or of any other Bidder. Of <br />to fu. 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, oonspiracy, comUvance. or unlawful I~mt any <br />advantage asainst the Oty of Sunny Isles Belch, or any person interested in the propoM:d Work; <br /> <br />. <br /> <br />(5) The price or picea quoted in the attached Bid arc 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 agents, representatives, owners, employees or parties in in~t, including this <br />taD <br /> <br /> <br />~N GAe.DNel2.. <br /> <br />(PrinLed 01 Typed Leglll NBDle of Affiant) <br /> <br />Stale 0 de County of m \ A rv\L; OADE. <br />Sworn to and subsaibed bcfnnl me thi. c9.'t ~ day of_Bf R\ L- ,2007 by <br /> <br />~ IU ~f\~\JNeR ,_, _ . <br /> <br />~N ~~hD \""Z--~ QAJnO Notarysc~~:~ M JEANRERHOlZ <br />N · N Prin~--I S...-...... ' ~ 0 "'.1 Y COMMISSION. 00443", <br />otary 8 &me l.QJ.........-. or ....1\..... BXPIRI!S, Oet. J.llU <br />~/ ~~u ~~~_ <br />Personally Known: X. or Produced Identification _ Type: <br /> <br />I <br /> <br />Page 9 019 <br />RFQ 07-03-01 Engineerins Srvs Bridie It,,vj~ (Addendum,!) <br /> <br />. <br />