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Bermello Ajamil & Partners
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(07-03-01) General Engineering Services
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Bermello Ajamil & Partners
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Last modified
1/27/2011 9:53:18 AM
Creation date
1/27/2011 9:50:54 AM
Metadata
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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 />'. <br />. <br />. <br />. <br />. <br />. <br />i. <br />. <br />. <br />. <br />I. <br />. <br />. <br />I. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of Florida <br /> <br />County of Leon <br /> <br />John A. Carven, P,E., President <br /> <br />being first duly swam, deposes and <br /> <br />says that: <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 infonned 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, fim1, 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. <br /> <br />)~a.~ <br />~'iGNA TURE OF AFFIANT <br /> <br />John A. Corven <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Leon <br />Swam to and subscribed before me this 24th day of April, 2007 by <br /> <br />'--lr!!t <br />;' <br /> <br />c <br /> <br />J1C if. <br />I <br />i <br /> <br />( <br /> <br />--r-e ;~ I (f FI ) { .1 (' S <br />Notary's Namt Printed, Stamped or Typed <br /> <br />Notary Seal: <br /> <br />Personally Known: X <br /> <br />or Produced Identification <br /> <br />~PV\, Terry A. Jones <br />f * Commission if D0364689 <br />~ if Expires October 20. 2008 <br />~ OF ~ e.wod Troy Foln . lmu':""O. I'" ~5-T019 <br /> <br />Identification Produced <br /> <br />Page 2 of2 <br /> <br />SWlIlr Isle For/ll".Doc <br />
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