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<br />Appendix H <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of <br /> <br />County of <br /> <br />being first duly sworn. deposes and says thaI: <br /> <br />(l) 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 pertinent <br />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. employees or parties in <br />interest. including this affiant. have in any way colluded. conspired. connived or agreed. directly or indirectly, with any <br />other Bidder, firm. or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid <br />has been submitted: or to refrain from bidding in connection with such Work: or have in any manner. directly or <br />indirectly, sought by 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 elements of the Bid price <br />or the Bid price of any other Bidder. or to secure through any collusion. conspiracy. connivance. or unlawful agreement <br />any 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 any collusion. <br />conspiracy. connivance. or unlawful agreement on the part of the Bidder or any other of its agents. representatives. <br />owners. employees or parties in interest. including this Affiant. <br /> <br />SIGNATURE OF AFFIANT <br /> <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of County of <br />Sworn to and subscribed before me this <br /> <br />day of <br /> <br />. 2007 by <br /> <br />Notary Sea\: <br /> <br />Notary's Name Printed. Stamped or Typed <br /> <br />Personally Known: <br /> <br />or Produced Identification <br /> <br />Identification Produced <br /> <br />4/4/2007 <br /> <br />City of Sunny Isles Beach: Request for Proposal - Audit Services <br />