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<br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />II <br />II <br />II <br />il <br />~I <br />!I <br />I <br />,I <br />II <br />II <br />!I <br />II <br />'I <br />!I <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of ~L ) <br /> <br />County of M ~ P-M." - ~ <br /> <br />S~ A. (~esp; <br />and says that: <br /> <br />(I) ~he is th~artner, Officer, Representative or Agent) of the Bidder that has <br />submmeathe attach~ <br /> <br />being first duly sworn, deposes <br /> <br />(2) ~e is fully infonned respecting the preparation and contents of the attached Bid and <br />of al~~t 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, finn, 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, finn, 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 />3 w:LV"I A. Li(es 0', . A fA <br />(Printed or Typed Legal Name of Itffia.nt) <br /> <br />State of FL County of M \ 6!-1"V''' - DD..olt <br />Sworn to and subscribed before me this L.':> day of ~ . , 2007 by <br /> <br /> <br />W~/ <br /> <br /> <br />Notary's Name Printed, Stamped or Typed <br /> <br />Personally Known: <br /> <br />v <br /> <br />or Produced Identification <br /> <br />Identification Produced <br />