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Corzo, Castella, Carballo
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(07-03-01) General Engineering Services
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Corzo, Castella, Carballo
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Last modified
1/26/2011 2:25:47 PM
Creation date
1/26/2011 2:25:23 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 />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of <br /> <br />Florida <br /> <br />County of <br /> <br />Miami-Dade <br /> <br />Robert T. Carballo, P.E., <br />says that: <br /> <br />being <br /> <br />first duly sworn. deposes <br /> <br />and <br /> <br />(I) He/she is the (Owner, Partner. Officer, Representative or Agent) of: the Bidder that has submitted <br />the attached Bid: <br /> <br />(2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all <br />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, employees or <br />parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or <br />indirectly, with any other Bidder or person to submit a collusive or sham Bid in connection with the Work <br />for which the attached Bid has been submitted, or to refrain from bidding in connection with such Work, or <br />have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or <br />conference with any Bidder, firm, or person to fix the prices in the attached Bid or of any other Bidder, or to <br />fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, or to secure <br />through any collusion, conspiracy. connivance, or unlawful agreement. any advantage against the City of <br />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 any <br />collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents. <br />repre entati-ves,e rs, employees, or parties in interest, including this Affiant. <br /> <br /> <br /> <br />Robert T. Carballo, P.E. <br />(Printed or Typed Legal Name of Affiant) <br /> <br />SIGNATU <br /> <br />State of Florida ~ounty ?f Mia~i-Dade ,f<.-, <br />Sworn to and subscrIbed before me thIS 2L/- - <br /> <br />IZ-o \ok'/' -I- Co-hQ--' l 0 <br /> <br />~ <br /> <br />day of Apn ( <br /> <br />,2007 by <br /> <br /> <br />Notary Seal: <br /> <br />~'"t\. Grace Morales <br />! ~ . My Commission 00267742 <br />"J.;"J;,.i EXpires November 16, 2007 <br /> <br />Nt\ta y's Name Printed, Stamped or Typed <br /> <br />Personally Known: / <br /> <br />or Produced Identification <br /> <br />Type: <br />
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