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<br />. <br /> <br />. <br /> <br />. <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />Statc of <br /> <br />Florida <br /> <br />County of <br /> <br />Mlarnl-O",de <br /> <br />Joe Gomez, PE <br /> <br />being first duly swom, deposes <br /> <br />and says that: <br /> <br />(I) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has <br />submitted the attached Bid; <br /> <br />(2) He/she is fully infonned respecting the preparation and contents of the attached Bid and <br />of all pel1inent circumstances respecting such Bid; <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <br />(4) Neithcr thc said bidder nor any of its officers, pm1ners, owners, agents, representatives, <br />employees or pm1ies in interest, including this affiant, have in any way colluded, conspired, <br />connived or agreed. directly or indirectly. with any other Bidder, fiml, or person to submit a <br />collusive or sham Bid in connection with the Work for which the attached Bid has been <br />submitted; or to refrain fi'om bidding in connection with such Work; or have in any manner, <br />directly or indirectly, sought by agreement or collusion, or communication, or conferencc with <br />any Bidder, firm, or person to fix the price or prices in the attached Bid or of any other Biddcr, or <br />to fix any overhead, profit, or cost elemcnts 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 pcrson interested in thc proposed Work; <br /> <br />(5) The pricc or prices quoted in the attached Bid arc fair and proper and are not tainted by <br />any collusion. conspiracy, connivancc, or unlawful agrecment on the pm1 of the Bidder or any <br />other fits oel , reprcsentatives, owners, employees or parties in interest, including this <br />Affian . <br /> <br /> <br />~e><;.~ "-.. ~ <br /> <br />(Printed or Typed Legal Name of PI. ftant) <br /> <br />State 0 ' County of rVliami-Oade <br />Swom to and subscribed bcforc me this Z ~2.n day of <br /> <br />00se L Go~e-z.. <br /> <br />A~I.L <br /> <br />, 2007 by <br /> <br /> <br />Notary Seal: <br /> <br />--- <br /> <br />Notary Public State of Florida <br />Tru~' '!'ndyk <br />",10, ,,on DD461195 <br />f , '2009 <br /> <br />or Produced Identification <br /> <br />~..".1 _" <br />;. f-: i <br />~Of....r!' <br /> <br />Personally Known: <br /> <br />Identification Produced <br /> <br />Page90f9 <br /> <br />I'ublicelllill' <br />