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Rachlin, Cohen & Holtz # 1
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RFP No. 07-04-01 Professional Audit Services
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Rachlin, Cohen & Holtz # 1
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Last modified
1/28/2011 11:23:52 AM
Creation date
1/28/2011 10:15:54 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Audit Services
Bid No. (xx-xx-xx)
07-04-01
Project Type (Bid, RFP, RFQ)
RFP
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<br />Aooendix. H <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of Florida ) <br />County of Miami-Dad~ <br />G. Jerry Chiocca <br /> <br />being first duly sworn. deposes and says that: <br /> <br />(1) He. is the (owner,lpartner, !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 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. finn. 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 />f. ~ ~....--,; G. Jerry Chioeca <br />(/SIGlf~nJR& F AFFIANT (Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida County of Miami-Dade <br />Sworn to and s?Cfibed before me this 4th day of <br />~ (0 lfl /~~ <br /> <br />May <br /> <br />, 2007 by <br /> <br />Teresa Cochran <br />Notary's Name Printed. Stamped or Typed <br /> <br />Notary Seal: <br /> <br />Personally Known: X <br /> <br />or Produced Identification - <br /> <br />J'~Hj\. Teresa Cochran <br />\, ~ . My Commission 00238534 <br />0'..../ Expires November 28, 2007 <br /> <br />Identification Produced <br /> <br />4/312007 <br /> <br />City of Sunny Isles Beach: Request for Proposal - Audit Services <br />
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