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<br />SECTION 10 <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA ) <br />COUNTY OF ~ ~ <br /> <br />The undersigned being first duly sworn as provided by law, deposes, and says: <br /> <br />10.1. This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny <br />Isles Beach City Commission and that it will be relied upon by said County, in any consideration which <br />may give to and any action it may take with respect to this Bid. <br /> <br />10.2. <br /> <br />The undersigned is authorized to make this Affidavit on behalf of, <br /> <br />(N~~rrt!too, ~~~dj~) <br /> <br /> <br />a, ~~ kE"~ . formed under the laws of <br />(Type of siness) r- j( <br /> <br />~~~ C~~~ <br /> <br />(Sole Owner, partner~ etc.) <br /> <br />.+irL - <br /> <br />(State) <br /> <br />of which he is <br /> <br />10.3. Neither the undersigned nor any person, firm, or corporation named in above Paragraph 11.2, <br />nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone <br />else to solicit favorable action for this Bid by the City, also that no head of any department or employee <br />therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. <br /> <br />10.4. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in <br />Paragraph 11.2 has not colluded, conspired, connived or agreed directly or indirectly with any bidder or <br />person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain <br />from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or <br />communication or conference with any person, firm or corporation, to fIX the prices of said proposal or <br />proposals of any other bidder; and all statements contained in the proposal or proposals described above <br />true; and further; neither the undersigned, nor the person, firm or corporation named above in <br />Paragraph 11.2, has directly or indirectly submitted said proposal or the contents thereof, or <br />~~ ~ thereto, to any association or ~ ~ or agent thereof. <br /> <br /> <br />AFFIANT'S NAME AFFIANT'S TIT E <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this Qo day 20C. <br /> <br />Personally Known ~ or Produced Identification <br />Type of identification <br />"",v.~ Tina G KwiatkowskI <br />(Affix seal here) !~ . My Commission 00178 /;Lll-t.-~~ <br />~Ott\.'cI Expires Janua/Y24, 2 _ NOTARY PUBLIC (name printed or typed) <br /> <br /> <br />END OF SECTION <br /> <br />PAGE S6 OF 78 <br />