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<br />
<br />NON-COLLUSIVE AFFIDA vir
<br />
<br />State of
<br />
<br />Florida
<br />
<br />)
<br />
<br />County of
<br />
<br />Dade
<br />
<br />)
<br />
<br />Thomas W, Graboski
<br />
<br />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 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,
<br />employees or parties in interest, including this affiant, have in any way colluded, conspired, connived
<br />or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a collusive or sham
<br />Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from
<br />bidding in connection with such Work; or have in any manner, directly or indirectly, sought by
<br />agreement or collusion, or communication, or conference with any Bidder, firm, or person to fix the
<br />price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost
<br />elements of the Bid price or the Bid price of any other Bidder, or to secure through any collusion,
<br />conspiracy, connivance, or unlawful agreement any advantage against the City of Sunny Isles Beach,
<br />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
<br />agents, representatives, owners, employees or parties in interest, including this Affiant.
<br />
<br />~~/~~
<br />SIGNATURE OF AFFIANT
<br />
<br />Thomas W, Graboski
<br />(Printed or Typed Legal Name of Affiant)
<br />
<br />State of Florida County of Dade
<br />Sworn to and subscribed before me this 24th
<br />Thomas W, Graboski
<br />
<br />NO~llPed or I y~;;V'S,4[1
<br />
<br />
<br />P"""oally Ko",,,,, ~, Produced Id'utifk"ioo
<br />
<br />day of April
<br />
<br />, 2007 by
<br />
<br />,
<br />
<br />U u fZ.-~
<br />
<br />Notary Seal:
<br />
<br />~~\"\\~ I W~IIIII~
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<br />~ Q5 ..~,~~\SSION ~:" 'y ~
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<br />'i/IIP8LiC"si-~'t. ~\\\...~
<br />111111111111\\\\\\ .
<br />
<br />Identification Produced
<br />
<br />SWORN STATEMENT PURSUANT ,Doc
<br />
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