|
<br />.
<br />
<br />County of
<br />
<br />-y,
<br />
<br />NON-COLLUSIVE AFFIDA vIr
<br />State of idO\;frCh
<br />~tO()I\~ I~J ~
<br />Sc &{ -t rY\ A- )\ vv-eJ (
<br />and says that:
<br />
<br />being first duly sworn, deposes
<br />
<br />(I) 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 circurnstances respecting such Bid;
<br />
<br />(3) Such Bid is genuine and is not a collusive or sham Bid;
<br />
<br />.
<br />
<br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives,
<br />ernployees or parties in interest, including this affiant, have in any way colluded, conspired,
<br />connived or agreed, directly or indirectly, with any other Bidder, finn, 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 advantage
<br />against the City of Sunny Isles Beach, Florida, or any person interested in the proposed Work;
<br />
<br />(5) The price or ~ ices quoted in the attached Bid are fair and proper and are not tainted by
<br />any collusion, conspi acy, connivance, or unlawful agreement on the part of the Bidder or any
<br />other 'ts ents, epre ntatives, owners, employees or parties in interest, including this
<br />Affiant.
<br />
<br />~--.- P Scu-t-i {Y\A-XVvt \ (
<br />
<br />SIGNA TU NT (Printed or Typed Legal Name of Affiant)
<br />
<br />State of JdtJl,:}q County of )Ia,n,~ '<Y:J {' 1l1aL. d /J
<br />Sworn to and subscribed before me this '" day of m::J ~ , 2007 by
<br />
<br />
<br />
<br />Notary
<br />
<br />
<br />"""1'",,
<br />~~"~''''''
<br />~~\
<br />. ~ Nolary Public. Stale of F10rIda
<br />\~> glMy Commission Expires Ja"'22.
<br />""~,?:,:,~'t.'.. Commission II DO 283732
<br />
<br />MARJORIE JOSEPH
<br />
<br />
<br />Personally Known: or Produced Identification ~~
<br />Identification Produced -YOYlda 'VYI V'v >0 U~ e.~.>~
<br />
<br />.
<br />
|