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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 />I. <br />. <br />. <br />. <br />. <br />. <br />. <br />I. <br />I. <br />.. <br />. <br />. <br />.. <br />. <br />. <br />. <br />.. <br />I. <br />.. <br />. <br />. <br />. <br />r\ <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of jbI1s'c..:::,. ) <br /> <br />County of ~t?5 <)11 ) <br /> <br />keuill F lG">'1.5wef( <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 t~ 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 /> <br />~ffiant. <br />. ~~~~ ~U;t/r: ~/f/~IV~LL <br />S ~~~-r- (Printed or Typed Legal Name of Affiant) <br /> <br />State of ;{;:t'\.~as' County of ~"3 uYl J! <br />Sworn to and subscribed before me this ..;;( ( ~ t day of / fkJk;; 7 ,2007 by <br /> <br />)(evI'11 F J..~J-t5LNe..A( . <br /> <br />/~) 1:.0 se "'".., Jk. ~-J CA'"> <br />\,-~...- A. ~~~ Notary Seal: <br />Notary's Name Printed, Stamped or Typed <br /> <br />Personally Known: <br /> <br />x <br /> <br />or Produced Identification <br /> <br />NOTARY PUBlIC.State of Kansas <br />_~. ROSEANN M. SANDERS <br />~ My Appt. Exp. (2 J cJ r <br /> <br /> <br />Identification Produced <br />