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<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-lJ606 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 />~nCl6k Tt VVt~ LL C <br /> <br />(Name of Corporation, Partnership, Individual, etc.) <br /> <br /> <br />a ca +- OJ , formed under the laws of <br />, (Type of~~~~J <br />of\Wich he is rn 0 Vl ~ r'~awf~~~ ~r etc.)' <br /> <br />FL <br /> <br />(State) <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 nam~ above in Paragraph 10.2 has not colluded, conspired, <br />connived or agreed directly or indirectly with any proposers or person, firm or corptitation, 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 />Ju-d{fh taU5~(k <br /> <br />AFFIANT'S NAME <br /> <br />t;1~~~IU' p:zf/wf <br /> <br />\. <br /> <br />TAKEN, SWORN AND S~RIBED TO BEFORE ME this \~1\ day of <br />Personally Known r/ or Produced Identification ; <br />Type of identification <br /> <br />MJ4llM <br /> <br />,20~L <br /> <br />\. <br /> <br />/ <br />i <br />\ <br /> <br />L <br />( <br />\ <br /> <br />,,'~!i:."'" JASON R. WES1'FORT <br />t:!~~;i MY COMMISSION 1/ DO 992109 <br />~ : = EXPIRES: June 13,2014 <br />"l.t:Iif..~'ii Bonded Thru Nol8Jy Public UndelWliterS <br /> <br /> <br />(Affix seal here) <br /> <br />DECEJ.lBER 28, 2010 <br /> <br />10f7 <br /> <br />.... <br /> <br />'-- <br /> <br />, I G <br />