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<br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />,...... <br /> <br />~..,y, <br />...~."II.".. <br /> <br />~ <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />STATE OF FLORIDA ) <br />COUNTY OF ~N)'\ ~ <br /> <br />The undersigned being first duly sworn as provided by law. deposes, and says: <br /> <br />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 <br />relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. <br /> <br />The undersigned is authorized to make this Affidavit on behalf of, <br /> <br />~nc{6!Ln VYte- LLC <br /> <br />(Name of Corporation, Partnership. Individual, etc.) <br /> <br /> <br />a, _GQ-t-er" Vl t1 _, formed under the laws of <br />(Type of Business)~ <br /> <br />FL <br /> <br />(State) <br /> <br />of which he is <br /> <br /> <br />Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2. nor anyone else to the knowledge of the <br />undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any <br />department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. <br /> <br />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, <br />connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or <br />corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication <br />or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in <br />the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any member or agent thereof. <br /> <br />) ccd{fh raU5~(k. <br /> <br />AFFIANT'S NAME <br /> <br />rHClM.J1I1~ dZl-(vrer <br />AFFIANT'S nTL V <br /> <br />TAKEN, SWORN AND S~RIBED TO BEFORE ME this \C;-\\ day of <br />Personally Known 1- or Produced Identification ___; <br /> <br />MPMM <br /> <br />,20~L <br /> <br />Type of identification <br /> <br /> <br />(Affix seal here) <br /> <br /> <br />JASON R. WESTFORT <br />MY COMMISSION. DO 992109 <br />EXPIRES: June 13,2014 <br />Bonded Thru Notary Public Unde!Writers <br /> <br />DECEMBER 28.2010 <br /> <br />10f7 <br /> <br />IG <br />