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<br />. <br /> <br />. <br /> <br />. <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of <br /> <br />Florida <br /> <br />County of <br /> <br />Miarni- Dade) <br /> <br />tv{ fL. <br /> <br />O~O (2.Iw8QfJO <br /> <br />being first duly sworn, deposes <br /> <br />and says that: <br /> <br />(I) He/she is the (Owner, partner~epresentative or Agent) of the Bidder that has <br />submitted the attached Bid; <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 Bid; <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 />connived or agreed, directly or indirectly, with any other Bidder, firm, 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 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 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 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 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 agents, representatives, owners, employees or parties in interest, including this <br />Affiant. /l;J i <br /> <br />~ O/htkl() /V&e;B(}W <br />SIGNATURE OF AFFIANT (Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Miami- Dade <br />Sworn to and subscribed before me this 24 th day of <br /> <br />April <br /> <br />, 2007 by <br /> <br />Gracio Riccobono <br /> <br />\\\\\1 111111/11/1 <br />~,,\\\ '{\JNG WillI/. <br />~ . . . . . '. "AlA.~ <br />S. N '.'V^~ <br />~ .. <:,~ 13 '<-1".' U' ~ <br />g .'.$-,,=>~? . . <br />Notary Seal: F*! <br /> <br />= . <br /> <br />u/ D J '" i- _~\. ~~:.6~~~.,. ~ g <br />or Produced Identification ~ Type: r v (...1f IC4~ '1~~ <br />I1I11 lie, STAit.~ \\\\ <br />IlIlm 1111 11\\\\ <br /> <br /> <br /> <br />Willie Wan <br />Notary's Name Printed, Stamped or Typed <br /> <br />.... <br /> <br />Personally Known: <br /> <br />Page 9 of 9 <br />RFQ 07-03-0 I Engineering Srvs Bridge Revised (Addendum. I ) <br />