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Jimmy Crowder Excavating
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RFP No. 08-07-01 Emergency Debris Clearing and Removal
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Jimmy Crowder Excavating
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Last modified
3/23/2011 4:38:40 PM
Creation date
3/23/2011 4:37:46 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Emergency Debris Clearing
Bid No. (xx-xx-xx)
08-07-01
Project Type (Bid, RFP, RFQ)
RFP
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<br />o <br /> <br />o <br /> <br />o <br /> <br />SECTION 10 <br /> <br />NON.COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA <br /> <br />COUNTY OF Leon <br /> <br />The undersigned being first duly swom 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 />Crowder Disaster Recovery <br />(Name of Corporation, Partnership, IndMdual, etc.) <br /> <br />a, <br /> <br />Corporation <br />(Type of Business) <br /> <br />, fonned under the laws of Florida <br />(State) <br /> <br />of which he is <br /> <br />Division Director <br />(Sole Owner, Partner, President, etc.) <br /> <br />10.3, Neither the undersigned nor any person, finn, or corporation named In above Paragraph 112, nor anyone <br />else to the knowledge ot the undersigned, have themselves solicited or employed anyone else to solic~ favorable <br />action for this prq>osal 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 dlrocdy 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 Co IILded , 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, finn or corporation, shall refrain from Proposing, <br />and has not In any manner, directly or Indirectly, sought by agreement or collusion, or communcation 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 direcUy or indirectly submitted said proposal or the <br />contents thereof, or divulged inf alia or data relative thereto, to any association or to any member or agent <br />thereof. <br />Joe Blanchar Division Director <br />AFFIANT'S N AFFIANT'S TITLE <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 'I -rtJ- day of A //If.:, VI S T <br /> <br />Personally Known V or Produced Identifcation <br />Type of Identification <br /> <br /> <br />,2008. <br /> <br />NOTA~~~J;~pedl <br /> <br />(Affix seal here) <br /> <br />, ",""'- R. ."- <br />".:~-:Y'-ylf.4t':r. ~1,AA4 ARNOLD <br />f~'t:i\(-m MV g@MMIMION # DO 367059 <br />;:;j.~! J~~I~~U~btuary 28, 2009 <br />"'~.9f,,r..~~ .. BilI1iiilll flmj Nelary Public Underwriters <br /> <br />END OF SECTION <br /> <br />57 <br />
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