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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 />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />I. <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 />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of <br /> <br />) <br /> <br />County of <br /> <br />) <br /> <br />Gracio Riccobono being first duly sworn, deposes and 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 informed respecting the preparation and contents of the attached Bid aml <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 \\lay 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 tIle Bid plice 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 pan of the Bidder or any <br />other of its agents" representatives, owners, employees or parties in interest, including this <br />Affiant. <br /> <br />~v <br />"- ."; l.." l <br /> <br />Gracio Riccobono <br />(Printed or Typed Legal Name of Affiant) <br /> <br />SIGNATURE OF AFFIANT <br /> <br />State of PL County of _t~t-t1-l(_~ I <br />Sworn to and subscribed before me this r-:??!:/- day of ~/-tJ y'l , <br />I <br />(,n~/ . F). I <br />j~ ttCi () ,'\ I CC".A..'.J::)'i..) n 6 <br /> <br />, 2007 by <br /> <br /> <br />'~lt.i!..J ti.,L"--J <br />ped or Typed <br /> <br />Notary Seal: <br /> <br />Personally Known: <br /> <br />or Produced Identification X <br /> <br />~~Y~::"T~~~f,~d"!F!!::~?;~! " <br /> <br />Identification Produced FL D.L. # 1\215-640-64-267-0 <br /> <br />Page 90f9 <br /> <br />RFQ_D1LSrvO'_For_Gov_lnJrastrltculre_042407( I J <br />
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