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<br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of <br /> <br />~1 '(;{2\ cAo... ) <br />I~\\A~(~~~.) <br /> <br />County of <br /> <br />mm. Gt ~\\Q~inCb(~4_6ee <br />and says that: <br /> <br />being first duly s\vorn, 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 th0 attached Bid and <br />of all pertinent circumstances respect ing 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 />colJusive or sham Bid in connection with the Work for which the auached Bid has been <br />submitted; or to refrain from bickling 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 Bickler, 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 clements of the Bid price or the Bid price of any other Bickler, <br />or to secure through any collusion, conspiracy, connivance, or un!;lwful 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 arc not tainted by <br />any collusion, conspiracy. connivance. or unlawful agreement on the pan of the Bidder or any <br />other of its agents, representatives, O\vners, employees or parties in interest. including this <br />Affiant. .? <br /> <br />/< <br /> <br /> <br />b ~'-\ U\J'Yl ?)\\~~QQ <br />(Printed oJ>ryped Legall allle of Affiant) <br /> <br />SIGNA~ <br /> <br />State of ...=EkJL.l.C!~_Countv of ?A\ llA (6ro.~ <br />Sworn to and subscribed bef;Jre me this "'h.Ll5.mm. day of <br /> <br />~__ &\C(~~ <br />AL'I"iJJ0 ~~ <br /> <br />Ntt::;y's Name Printed, Stamped or Typed <br /> <br />f..-A-~( _ <br /> <br />___.m_' 20(;J by <br /> <br />Notary Seal: <br /> <br />Personally Known: )(J <br />-. r <br /> <br />or Produced Identificat ion <br /> <br />",~Y.lJe <br />:R~~ <br />. . <br />'!l. c:. _ ;) <br />"~ o.."-o~. <br /> <br />Notary Public State of Florida <br />Michelle SacclJtelli <br />My Commission 00399359 <br />Exrires 02123/2009 <br /> <br />Identification Produced <br /> <br />Page 7 of 7 <br /> <br />07.0-1-02 Gm fug Sns Ileriwge Pk Garage Bit! (Hfq) <br />