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<br />o <br /> <br />o <br /> <br />o <br /> <br />SECTION 10 <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA <br /> <br />} <br />} <br />} <br /> <br />COUNTY OF f) IZ D L01t1t 0 <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. The undersigned is authorized to make this Affidavit on behalf of, <br />'NEEKlEY ASPHALT PAVING, INC <br />(Name of Corporation, Partnership, Individual, etc.) <br /> <br />a, COf<.jJotZ4/1UN <br />(Type of Business) <br /> <br />. formed under the laws of fLO 1\ 10 IJ <br />(State) <br /> <br />of which he is PI<.. f 5 I 0 LtJ, <br />(Sole Owner, Partner, President, etc.) <br /> <br />10.3. Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, <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 10.2 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 />P agraph 10.2, has directly or indirectly submitted said proposal or the contents thereof, or divulged <br />info . or data relative thereto, to any association or to any member or agent thereof. <br /> <br /> <br />ff<t:.SJOLNI <br />AFFIANT'S NAME DA-rv J tL D. . U_K. Lf>/ AFFIANT'S TITLE <br /> <br />TAKEN, SWORN AND SUBSCRlBEDtcrB E ME this? rH day of DE.c.EI>1()C~ <br /> <br />.200J <br /> <br />Personally Known X <br />Type of identification <br /> <br />or Produced Identification <br /> <br /> <br />(Affix seal here) <br /> <br />~~!~: PUBLIC-STATE OF FLORIDA <br />f.,~"'" Teresa Patane <br />~ ~r:}} Co~mission # DD680356 <br />..."....... ExpJres: JULY 16 2011 <br />BONDED THRU Al'I.AN'flC BONDING ~o..INc. <br /> <br />END OF SECTION <br /> <br />PAGE 58 OF 130 <br />BID No. 08-10-01 <br />