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. o o SECTION 10 NON-COLLUSION AFFIDAVIT STATE OF FLORIDA ) COUNTY OF ~Y1JU)o. vdJ The undersigned being first duly sworn as provided by Jaw, deposes, and says: 10.1. This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. 10.2. The undersigned is authorized to make this Affidavit on behalf of, ~ ree-() (\f)l'\S.fyt(c-t~n l-e.~ hol DS{d -...1-ne.. (Name of Corporation, Partnership, Individual, etc.) a, QJ)YODYCl.'h~ V\ , formed under the laws of (Type of ~siness) . \J \ & ~ V ~--eS \dJ-%~r (Sole Owner, Partner, President, etc.) A l7Y ;d&t (State) of whiC~ he is 10.3. Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. 10.4. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly with any bidder or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference with any person, firm or corporation, to fix the prices of said proposal or proposals of any other bidder; and all statements contained in the proposal or proposals described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10.2, has directly or indirectly submitted said proposal or the contents thereof, or divulged .~ ormation or data relative thereto, to any!ssociation or to ,any member~gent thereof. \ (l I L '~100 \ V ) ~ - :I(' \--t:- S 16v~~.J\-' AF ANT'S NAM AFFIANT'S TITLE 200_9" Personally Known Type of identification or Produced Identification - \ \....-- ~ \.-- (Affix seal here) - 1 ti\ JERRVMURAT .. ~t.;ll 01 f1or\da N tary PUb'i\;, ";. 1. . o , "") 1".3':..7 C ml'i1\5~loNi I,". .:,... ~ o '. oct "9 2011, My comm. expire:> _ . \J '. --"""D OF SECTION PAGE 58 OF 130 BID No. 08-10-01