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<br />NON-COLLUSIVE AFFIDAVIT
<br />
<br />State of
<br />
<br />Florida
<br />
<br />County of
<br />
<br />Miami-Dade )
<br />
<br />Javier F. Salman, AlA
<br />sworn, deposes and says that:
<br />
<br />being first duly
<br />
<br />(1) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has submitted
<br />the attached Bid;
<br />
<br />(2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all
<br />pertinent circumstances respecting such Bid;
<br />
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<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 any
<br />collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other
<br />of its age esentatives, owners, employees, or parties in interest, including this Affiant.
<br />
<br />
<br />Javier F. Salman, AlA
<br />SIGN (Printed of Typed Legal Name of Affiant)
<br />
<br />Miami-Dade
<br />
<br />Sworn to and subscribed before me this 21 st
<br />
<br />day of
<br />
<br />August
<br />
<br />, 2007 by
<br />
<br />Javier F. Salman
<br />
<br />
<br />Notary Seal:
<br />
<br />Jessica Perez
<br />Notary's Name Printed, Stamp
<br />
<br />Personally Known: X
<br />
<br />or Produced Identification
<br />
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<br />
<br />Identification Produced
<br />
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<br />
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