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<br />. <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of <br /> <br />Florida <br /> <br />) <br /> <br />County of \J.wJi.. Ih~ <br /> <br />\\. ft{ f1I1 nc\n '-e, \2 urn 0 S P ,'-=F <br />and says that: I <br /> <br />being first duly swom, deposes <br /> <br />(1) He/she is the (Owner, Partner, Officer. Representative or Agent) of the Bidder that has <br />submitted the attached Bid; President I Owner <br /> <br />(2) He/she is fully informed respecting the preparation and contents of the attached Bid and <br />of all pertinent circumstances respecting such Bid; <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Did; <br /> <br />. <br /> <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 />cOImived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a <br />collusive or sham Bid in connection with the Worle for which the attached Bid has been <br />submitted; or to refrain from bidding in connection with sucb Work; or have in any manner, <br />directly or indirectly, sought by agreement or collusion, or communication, or conference with <br />any Bidder, finn, 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 elements of the Bid price or the Bid price of any other Bidder, <br />or to secure through 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 price quoted in the attached Bid are fair and proper and arc not tainted by <br />any collusio <br />other of its a <br />Affiant. <br /> <br /> <br />J-frjz,e)~ 2, rlM4 <br /> <br />(Printed or Typed Legal Name of Affiant) <br /> <br />. <br /> <br />State of lorida Co tyof U lULl! ' Dode <br />Swom to and subscribed before me this f<l.j day of -*rr? I ,2007 by <br /> <br />\-\ f'rn(l()r\() lI., VamOS I p. t= ' <br /> <br />~V\\lab~~t... ~m(" III Notan_ ELIZABETH TORNElll <br />Notary's Name Printed, Stamped or Typed W MYCOMMISSlONNDD601256 <br />/ . EXPlRES:OCT02,2010 <br />~ Bonded through 1st Slalelnsurance <br />Personally Known: or Produced Identification _ Type: <br /> <br />Page 9 of 9 <br />RFQ 07-03-01 Engineering Srvs Bridge Revised (Addendum. l) <br />