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(07-07-01) Prof. General Engineering
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Last modified
2/15/2011 4:26:23 PM
Creation date
2/15/2011 4:24:43 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Engineering
Bid No. (xx-xx-xx)
07-07-01
Project Type (Bid, RFP, RFQ)
RFQ
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<br />I <br />II <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of (Florida) <br /> <br />County of (Broward) <br /> <br />Thomas A. Hall, Associate being first duly sworn, deposes and says that: <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 circumstances respecting such Bid; <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <br />I <br />I <br />I <br />I <br />I <br />I <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 advantage <br />against the City of Sunny Isles Beach, Florida, or any person interested in the proposed Work; <br /> <br />Thomas A. Hall, Associate <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of Florida, County of Broward <br />Sworn to and subscribed before me this 16th day of August, 2007 by <br /> <br />I <br />I <br />I <br />I <br /> <br />:i~~~~ Notary Public State of Florida <br />. ': Priscilla P Gordon <br />J ' 'rI My Commission 00542436 <br />Priscilla Gordon Notary Seal: '>on~ Expires 04/19/2010 <br /> <br />Notary's Name Printed, Stamped or Typed ~~ ~ <br /> <br /> <br />Personally Known: _X_ or Produced Identification_ <br /> <br />Thomas A. Hall, Associate. <br /> <br />Identi fication Produced <br />
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