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<br />-------------.--------..........--..-....-..--... ..-.....--..--.---.-....---..-..-.-----.-.-----------
<br />
<br />NON-COLLUSIVE AFFIDAVIT
<br />
<br />State of
<br />
<br />Florida
<br />
<br />County of
<br />
<br />MIAMI
<br />
<br />-Manuel G Vera
<br />and says that:
<br />
<br />being first duly sworn, deposes
<br />
<br />(1) Helshe is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has
<br />submitted the attached Bid;
<br />
<br />(2) Helshe is fu~ly 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 />
<br />(5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by
<br />any collusion, conspiracy, cOlmivance, 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. /
<br />1'1' /, ,-, /7 ~'~
<br />,/ '/ //..;t ~ ~{~
<br />1./ , / r.---<-I:. / ,
<br />SIGNATURE OF AFFIANT
<br />
<br />Manuel G Vera
<br />(Printed or Typed Legal Name of Affiant)
<br />
<br />State of F lorid.a..County of Miami
<br />Sworn to and subscribed before me this 24 t h day of A p r i 1
<br />
<br />, 2007 by
<br />
<br />Manpel G Vera
<br />
<br />(J/ LUJ4
<br />
<br />~QSi)~OOOOOOOGoaoog ~OOOOQOOOOOOOOl;ll1a(lI)IH'OOaOIJO
<br />: SILVIA NUIN
<br />
<br />Notary Seal:~ i";:~~'~~;"'- CommtJ 000445800
<br />. ~~~'t;. E.prl'lOs 9/24/2009
<br />: :;. Oil'. =
<br />: \~,,' 'if! Bonded t~ru (600}432-4254
<br />: ""~'I~Rf,~?\~""~ FlOrida Notary Assn.. lnc
<br />~.o. _00" 110' ~..~ e 5n... 0 ,. ~. o. ~ a 0 a 0 no 0 000 000000
<br />
<br />Ir i ,1 ! ~/
<br />/\j C/) I ~
<br />Notary's Name Printed, Stamped or Typed
<br />
<br />Personally Known:
<br />
<br />/'
<br />
<br />or Produced Identification --.:... Type:
<br />
<br />Page 9 of 9
<br />RFQ 07-03-0! Engineering Srvs Bridge Revised (Addendum,!)
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