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<br />SECTION 10 <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA <br />COUNTY OF [>~\\e <br /> <br />) <br />) <br />) <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 />C,^ \ - \\C\~ Co(~~\f\A~ ~\'\ <br />(Name of Corporation, Partnership, Individual, etc.) <br />---, - I <br /> <br />a, JChl\\\\\]n~\ S~X~I(QS <br />(Type of Business) <br />-=v {' ~S ~ \\ Q;\,\1 <br />(Sole Owner, Partner, President, etc.) <br /> <br />. formed under the laws of <br /> <br />fl~rt~~ <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 />divulged information or data relative thereto, to any association or to any member or agent thereof. <br /> <br />~\\(t Dk\){() 'V(~\~~ \11:' <br />AFFIANT'S NAME AFFIANT'S TITLE <br /> <br />TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this d t::day of ~ / 200&' <br /> <br />~nallY ~n or Produced Identification : <br />TYPE=ot-identification /) <br /> <br />(Affix seal here) l!,1_IHlIIIIlllHIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ: ~ ~' <br />! ANDREW OGHINAN ~ ~ / . <br />! Notary Public State of Florida ~ NOTARY PUBl:IVname printed or typed) <br />~ My Comm. Exp 11/28/2011 ~ <br />5 Commission # 00737329 5 <br />5IHIHIRIIIIIIIlHIIIIIIIIIIIIIIII1IIII1I1IIlIUHIIII.'IIIIItIIIIIIIIIIHI1IIIF. <br /> <br />END OF SECTION <br /> <br />PAGE S6 OF 78 <br />