<br />c
<br />
<br />NON-COLLUSIVE AFFIDA vIr
<br />
<br />State of FL )
<br />
<br />County of
<br />
<br />Broward
<br />
<br />)
<br />
<br />Craig A. Smith & Associates, Inc.
<br />and says that:
<br />
<br />being fIrst duly sworn, deposes
<br />
<br />(1) Helshe is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has
<br />submitted the attached Bid;
<br />
<br />(2) Helshe 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 />.
<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 />o r f i ents, representatives, owners, employees or parties in interest, including this
<br />
<br />
<br />Stephen C. Smith, P.E.
<br />
<br />SIGNA OF AFFIANT (Printed or Typed Legal Name of Affiant)
<br />
<br />State of ft.ot<,'PII- County of :&t;wllf{J> ~
<br />Sworn to and subscribed before me this ~ I ~T day of
<br />
<br />S-rEfllE /Ii (31 .sn" m
<br />Ii t-I:vf O'lo,,)ieJJs,(I'
<br />Notary's Name. Print d, Stamped or Typed
<br />Personally Known: X
<br />
<br />I/-"~I/SI
<br />
<br />. 2007 by
<br />
<br />.....,
<br />
<br />Notary Seal:
<br />
<br />!J'.
<br />\~..
<br />~o,f\.df
<br />
<br />Notary Public Stale of Florida
<br />Linda Komoniewski
<br />My Commission 00409952
<br />Expires 03122/2009
<br />
<br />or Produced Identification
<br />
<br />IdentifIcation Produced
<br />
<br />o
<br />
|