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Nutting Eng.
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(07-07-01) Prof. General Engineering
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Nutting Eng.
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Last modified
2/18/2011 3:49:11 PM
Creation date
2/18/2011 3:42:01 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 />I <br /> <br />I <br /> <br />I <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of FLORIDA <br /> <br />I <br /> <br />County of PALM BEACH <br /> <br />I <br /> <br />RICHARD C. WOHLFARTH, P.E. <br />and says that: <br /> <br />being first duly sworn, deposes <br /> <br />I <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 />I <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 />I <br /> <br />(3) <br /> <br />Such Bid is genuine and is not a collusive or sham Bid; <br /> <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 />I <br /> <br />I <br /> <br />I <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 />I <br /> <br />:~ RICHARD C. WOHLFARTH. P.E. <br />SIGNA TURE OF FFIANT (Printed or Typed Legal Name of Affiant) <br /> <br />State of FL County of :Pc.l~ Bee. c... ~ A I ^ <br />Sworn to and subscribed before me this I (p ~ day of I 1~U..s i ,2007 by <br /> <br />M;charJ C. wc)"" fc* . <br /> <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br /> <br />I <br /> <br />Personally Known: <br /> <br />~ <br /> <br />or Produced Identification <br /> <br /> <br />~otf~~e~ L BUTI.ER <br />j ~isslon DO 648115 <br />Expires June 11, 2011 <br />It · Bondtd ThIv TIllr Fail '-we 8QO.365.701i <br /> <br />I <br /> <br />Identification Produced <br /> <br />I <br />
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