|
<br />State of F lor i Or! Count Mi ami Dade
<br />Sworn}o and subscribed before me this 20th day of
<br />
<br />/ I
<br />(./'", Y( l "icE': J
<br />
<br />April
<br />
<br />, 2007 by
<br />
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />II
<br />I
<br />II
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />
<br />NON-COLLUSIVE AFFIDAVIT
<br />
<br />State of
<br />
<br />Florida)
<br />
<br />County of
<br />
<br />Miami-Dade
<br />
<br />Carlos M. Cejas, P.E.
<br />and says that:
<br />
<br />being first duly sworn, deposes
<br />
<br />(I) 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
<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 thc 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 elemcnts 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 COrfjlUSion, co piracy, connivance, or unlawful agreement on the part of the Bidder or any
<br />other 0' I ag s, reprcsent . es, owners, employees or parties in interest, including this
<br />AtEan ,~
<br />
<br />Carlos M. Cejas, P.E.
<br />(Printed or Typed Legal Name of Affiant)
<br />
<br />
<br />,: /..'
<br />/' \ 'f
<br />
<br />Amarili!'; Rivpro
<br />Notary's Name Printed, Stamped or Typed
<br />
<br />! ,.~y "u"
<br />Nota y,ffii:UI!. :
<br />1'.~'+"
<br />Ill)"'.'1
<br />
<br />...-......-....- '''-'
<br />
<br />. . -,'~v''''''i
<br />
<br />''.1\1,111' RI\fl{() \
<br />~\ "I 'l'\.!:IP"~1f I'" .,I)j)211-.fl )
<br />,'!I"! '. \1", .. c. ,'~I' l
<br />-,)
<br />
<br />Personally Known:
<br />
<br />x
<br />
<br />or Produced Identification _ Type:
<br />
<br />Page 9 0[9
<br />RFQ 07-03-0 I Engineering Srvs Bridge Revised (Addendum I ).doc
<br />
<br />I
<br />
|