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<br />NON-COLLUSIVE AFFIDA vIr
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<br />State of
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<br />Florida )
<br />Miami-Dade
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<br />County of
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<br />Jose L. Estevez, AlA
<br />and says that:
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<br />being first duly sworn, deposes
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<br />(1) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has
<br />submitted the attached Bid;
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<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;
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<br />(3) Such Bid is genuine and is not a collusive or sham Bid;
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<br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives,
<br />employees or panies 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;
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<br />(5) The price or prices quoted in the attached Bid are fair and proper and arc 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 patties in interest, including this
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<br />j/ , , Jose L. Estevez, AlA
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<br />SIG A TURE OF AF
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<br />(--~
<br />State of / r County of
<br />Sworn tord subscribed bef~re me this
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<br />~/c;J-( ~ ( &-/c.u 7r
<br />(l,d/L J .4-2tD
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<br />Notary's Name Printed, Stamped or Typed
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<br />(Printed or Typed Legal Name of Affiant)
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<br />day of
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<br />. 20~ by
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<br />Notary Seal:
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<br />Personally Known:
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<br />or Produced Identification
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<br />. . ... ,. ._..,....._------_.~
<br />','".... CANDIDA DELGADO
<br />i /,~:';':,'l:!"~\ MY COMMISSION #00404005
<br />\ \ ' .. ;,,} I:Xf'If1ES: MAR 13. 2009
<br />! '<.~~":,"/ !\Qn.:lccl through 1st StatulnslIrance
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<br />Identification Produced
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<br />Page 7 of7
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<br />07-04-02 Gen E"s Srvs Heritage Pk Gwnge Bid (Rfq)
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