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<br />- <br /> <br />\ <br />\ <br />\ <br /> <br /> <br />I <br /> <br />,.. <br /> <br />,.. <br /> <br />.. <br /> <br />SECTlON 10 <br />NON_COLLUSION AffIOA Vl'T <br /> <br />STATE Of fLORIDA ) <br />) <br />COUNTY Of~ <br /> <br />The undersigned being first duly sWorn as provided by law, <Jep<>S"S' and says: <br /> <br />\ <br /> <br />10.1. 111is Affidavit is rnade witl1 tl1e knOWledge and intent \hat it is to be filed with tl1e at; of Sunny <br />Isles Beam Ot'/ cornrnission and \hat it will be relied upOn by said count;, in any consideration whim <br />rnay giVe to and any action it rnay take with respect to 1\115 Bid. <br /> <br />10.2. 111e undersigned is aut\1oriled to rnake tl1iS Affidavit on """alf of, <br />b.P1c. C.Ol'\~'\ AA 0'-1 II.-- ~ t ~~~t-l . c.ol't\. <br />(Narne of Corporation, partnershiP, IndiVidual, etc.) <br /> <br />a, ~fJ'- C--( I~~ forrned under tl1e laWS of ~ <br />(Type of BusineSS) (state) <br /> <br />of which he is ~"'......"7\ o<'~\" <br />(sole owner, partner, president, etc.) <br /> <br />\ <br />\ <br />\ <br /> <br />\ <br /> <br />10.3. Nei\her tl1e undersigned nor any person, firm, or corporatiOn named in abOVe paragraph 10.2, <br />nor anyone else to tl1e I<nowiedge of tl1e undersigned, have tl1ernselves sOiicited or ernplOyed anyone <br />else to sOliCit favorable action for tl1is Bid by \he Ot'/, also tl1at no head of any department or ernployee <br />therein, or any officer of tl1e Cir:Y of sunnY Isles Beam, Florida is directly intereste<l\herein. <br /> <br />10,4. 111is Bid is genuine and not collusive or a sharn; \he person, flfrn or corpOration narned abOve in <br />paragraph 10.2 has not colluded, conspired, connived or agreed directly or indirectly wi\h any bidder or <br />person, firrn or corporatiOn, to put in a sharn Bid, or tl1at sum person, firrn or corporation, shall refrain <br />frorn bidding, and has not in any rnanner, directly or indirectlY, SOUght by agreernent or collu~on, or <br />cornrnunication or conference witl1 any person, firm or corpOration, to fix tl1e priCes of said proposal or <br />prOi;osal5 o~other bi Ir; and all statements contained in the proposal or proposals described above <br />true; ~ . no the der~gned, nor tl1e person, firm or corporation narned abOve in <br />Par ra t haS ire Y .' c y subrnitted said proposal or tl1e contents \hereof, or diVUlged <br />inf rrn i nor r lati r, to any assodation or to any rnernber or agent thereof. <br /> <br />~ i..UD ~\P~ <br />AFnANT'S NAME AfnANl'S TITLE <br /> <br />TAKEN, SWORN ANO SUfl5CRIBEO TO BEFORE ME this J!!:. day of ~ 200'P <br /> <br />personallY Known ~ or Produced IdentiflCi>tiOn --; <br />i n oft ti n <br />..."""" GISEi FERN1>-NOE1 <br />........ t~'f p 'I, <br />1'i.. '~eci\l_@)\)\iC - Slate 01 Flolida <br />\.: i!iI : .1'" comm""" """ .. 23.2<'0' NOT <br />"'*~}.:t~ ~li commission it 00 426343 <br />"'~Rr,:~~"" Bonded B~ National No\a~ 1>-55n. <br /> <br /> <br /> <br /> <br />END Of SECTION <br /> <br />- <br /> <br />_ ~_ 'l"'2n <br />