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<br />SECTION 10 <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA <br /> <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 Isles Beach <br />City Commission and that it will be relied upon by said County, in any consideration which may give to and any action <br />it may take with respect to this proposal. <br /> <br />10.2. The undersigned is authorized to make this Affidavit on behalf of, <br /> <br />(Name of Corporation, Partnership, Individual, etc.) <br /> <br />a, <br /> <br />, formed under the laws of <br /> <br />(Type of Business) <br /> <br />(State) <br /> <br />of which he is <br /> <br />(Sole Owner, Partner, President, etc.) <br /> <br />10.3. Neither the undersigned nor any person, firm, or corporation named in above Paragraph 11.2, nor anyone <br />else to the knowledge of the undersigned, have themselves solicited or employed anyone else to solicit favorable <br />action for this proposal by the City, also that no head of any department or employee therein, or any officer of the City <br />of Sunny Isles Beach, Florida is directly interested therein. <br /> <br />10.4. This proposal 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 proposer or person, <br />firm or corporation, to put in a sham proposal, or that such person, firm or corporation, shall refrain from Proposing, <br />and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference <br />with any person, firm or corporation, to fix the prices of said proposal or proposals of any other proposer; and all <br />statements contained in the proposal or proposals described above true; and further; neither the undersigned, nor the <br />person, firm or corporation named above in Paragraph 11.2, has directly or indirectly submitted said proposal or the <br />contents thereof, or divulged information or data relative thereto, to any association or to any member or agent <br />thereof. <br /> <br />AFFIANT'S NAME <br /> <br />AFFIANT'S TITLE <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this _ day of <br /> <br />,2008. <br /> <br />Personally Known <br />Type of identification <br /> <br />or Produced Identification <br /> <br />(Affix seal here) <br /> <br />NOTARY PUBLIC (name printed or typed) <br /> <br />END OF SECTION <br /> <br />57 <br />