|
<br />o
<br />
<br />o
<br />
<br />o
<br />
<br />SECTION 10
<br />NON-COLLUSION AFFIDAVIT
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />
<br />The undersigned being first duly swom as provided by law, deposes, and says:
<br />
<br />10.1. This Affidavn is made with the knowledge and intent that n is to be filed wnh 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 Affidavn on behalf of,
<br />
<br />~et - r pn ~[;c s LLC
<br />(Name of Co oration, artnership, Individua, etc.)
<br />
<br />a,\~~\\eO \\<:\'0\ ,\ ~ Co f'(\~~ ' formed ~erthe laws of
<br />(Type of Busin s) (cklcr;s, Re.{)"\\:)0~\ J
<br />
<br />of which he is e."',e\ DQ2rA-,",,~ b-\-Sc-er
<br />(Sore Owner, er, PreSident, etc.)
<br />
<br />{\. t c\ 6 <)'lY\~
<br />(State)
<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 solicn 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 wnh 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 />
<br />1h1X': J ~L (';h, A' ~(At;{)^<. 6ff) c.e r
<br />~kR'fS NAME 11 AFFIANT' TITLE
<br />
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME thisB..fh day of ---f1r.W~S.-ok
<br />
<br />Personally Known ~r Produced Identification ;
<br />Type of identification
<br />
<br />,2008.
<br />
<br />(Affix seal h~re) :. ..
<br />. ERIKA-HUNt
<br />NOTARY PUBUC,.~ STATE AT LARGE
<br />MY COMMISSION EXPIRES 03.29-201 0
<br />
<br />~I'i~ ~Ltl:t
<br />NOTARY PUBLIC (name printed or typed)
<br />
<br />END OF SECTION
<br />
<br />57
<br />
|