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<br />NON-COLLUSIVE AFFIDA VIT
<br />
<br />State of
<br />
<br />Florida )
<br />
<br />County of
<br />
<br />Dade
<br />
<br />)
<br />
<br />Nasir M. Alam, P.E.
<br />and says that:
<br />
<br />being first duly sworn, deposes
<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
<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 the 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 elements 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 collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any
<br />other of its agents, representatives, owners, employees or parties in interest, including this
<br />Affiant.
<br />
<br />~$2-
<br />
<br />SIGNATURE OF AFFIANT
<br />
<br />,-
<br />
<br />Nasir M. Alam, P.E.
<br />(Printed or Typed Legal Name of Affiant)
<br />
<br />St t f Florida C f Dade
<br />a e 0 ounty 0
<br />Sworn to and subscribed before me this 23
<br />
<br />day of
<br />
<br />May
<br />
<br />, 200Q by
<br />
<br />Nasir M. Alam, P.E.
<br />
<br />
<br />- ~{'JlJry,gt:;al.
<br />
<br />Personally Known:
<br />
<br />x
<br />
<br />"JI"L."~,~''''''''
<br />~~
<br />,l::'
<br />...............__.............I~.... ~
<br />
<br />or Produced Identification .~ I' .~ 0:::::::-\0 !
<br />., .. EJt,tm Wter201 0 ,
<br />t; r.Z FtIrldII NIDry AIa'I.. n:
<br />
<br />.~ ...............- ............................. ",
<br />
<br />1 ~
<br />......\i.::~u..:~..."~_~~.~~.u r7'.:.-.~....""
<br />
<br />Identification Produced
<br />
<br />Page 7 of 7
<br />
<br />07-04-02 Gen Eng Srvs Heritage Pk Garage Bid (Rfq)
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