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(07-03-01) General Engineering Services
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Last modified
1/26/2011 9:10:08 AM
Creation date
1/25/2011 4:49:47 PM
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Engineering Svcs.
Bid No. (xx-xx-xx)
07-03-01
Project Type (Bid, RFP, RFQ)
RFQ
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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 />Miami-Dade ) <br /> <br />Oscar Gonzalez <br />and says that: <br /> <br />being first duly sworn, deposes <br /> <br />(1) 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 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 biddcr nor any of its officcrs, 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 \vith <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 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 arc fair and proper and are not tainted by <br />any collusio , co spimcy, connivance. or unlawful agreement on the part of the Bidder or any <br />other of its 'ge ts, representatives, owners, employees or parties in interest, including this <br />Affiant. <br /> <br /> <br />fA utr b-,u ~k: <br /> <br />SIGNATURE OF AFFIANT <br /> <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Miami-DaQe_ <br />Swam to and subscribed before me this 24th <br /> <br />day of <br /> <br />AI' r i1 <br /> <br />Oscar Gon~l.e.Z___ <br /> <br />~~-- <br /> <br />Page 9 of 9 <br />RFQ 07-m-O] Engineering Srvs Bridge Revised (Addendum.l) <br />
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