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<br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />APPENDIX H <br />NON-COLLUSION AFFIDAVIT <br /> <br />State of Florida) <br />) ss. <br />County of Broward) <br /> <br />William G. Benson, being first duly sworn, deposes and says that: <br /> <br />1. He is the Partner of Keefe, McCullough & Co., LLP, of the Bidder that has submitted the attached <br />bid; <br /> <br />2, He 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 Bidder nor any of its officers, partners, owners, agents, representatives, employees or <br />parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, <br />directly or indirectly, with any other Bidder, firm or person to submit a collusive or sham Bid in <br />connection with the work for which the attached Bid has been submitted; or to refrain from bidding <br />in connection with such work; or have in any manner, directly or indirectly, sought by person to fix <br />the 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 of 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, <br />representatives, owners, employees or parties in interest, including this Affiant. <br /> <br /> <br />tr~ <br />I <br /> <br />State of Florida) <br />) ss. <br />County of Broward) <br /> <br />BEFORE ME, this 2nd day of May, 2007, by William G. Benson. <br /> <br />6P/-th (', ' ~\0{\e~ <br />Notary's Name Printed, Stamped or yped <br /> <br />Notary Seal: <br /> <br />Personally Known L or Produced Identification _ <br />Identification produced <br /> <br />",tU'JI <br />,,~t'!\!...U-,,; Beth C <br />~~A"~~ A d <br />-.. ;~ Com . n &rton <br />'~~.".ck:;'': Exp' miSSion # 00471639 <br />'Ifill"'" "- T~~~ OctOber " 2009 <br />~;I~~1IJf~ <br />