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(07-07-01) Prof. General Engineering
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Last modified
2/18/2011 1:30:15 PM
Creation date
2/18/2011 1:29:39 PM
Metadata
Fields
Template:
CityClerk-Bids_RFP_RFQ
Project Name
P.E.
Bid No. (xx-xx-xx)
07-07-01
Project Type (Bid, RFP, RFQ)
RFQ
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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 />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />n <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of FL- ) <br /> <br />County of MIAMI -DP-Dt) <br /> <br />Je-ff Eo~ley <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 advantage <br />against the City of Sunny Isles Beach, Florida, 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 /> <br />::;;;~ tI 61scey <br /> <br />(Printed or Typed Legal Name of Affiant) <br /> <br />ate of rL County of MIAt"l/-O~e <br />Sworn to and subscribed before me this 2ot-h day of ~US.t- <br /> <br />,-Jeff toS l-ey <br /> <br />, 2007 by <br /> <br />5u~an 6vevra <br />Notary's Name Printed, Stamped or Typed <br /> <br />Notary Seal: <br /> <br />Personally Known: ')( <br /> <br />or Produced Identification <br /> <br />- <br /> <br />'\\~~~""" SUSAN GUERRA <br />I~m~ Notary Public - Slate 01 Florida <br />i. . i My ComrnIaIon expires Jun 28, 2011 <br />~ ~; CommIIIIon' DO 690613 <br />"'I 01 $''\'''~- <br />~""r.t' Bclndlld ~ NIIIonIINclIJIy Ala <br /> <br />Identification Produced <br /> <br />~ <br />
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