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<br />r' <br />I <br /> <br />[C <br /> <br />i ; <br /> <br />r-' <br />I <br />I <br /> <br />! 1 <br /> <br />, , <br /> <br />I' <br />i <br /> <br />r 0 <br />l, <br /> <br />r 1 <br />1. <br /> <br />I' <br />l ~ <br /> <br />f' <br />1 <br /> <br />r' <br />L J <br /> <br />[ I <br />I <br />L1 <br /> <br />r " <br />I <br />L <br /> <br />r: <br /> <br />[ : <br /> <br />( ; <br /> <br />l~ <br /> <br />L <br /> <br />l,~ <br /> <br />r: <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 NEW YORK <br />COUNTY OF Manhattan) <br /> <br />The undersigned being first duly swom as provided by law, deposes, and says: <br /> <br />This Affidavit is made \NIth the kno\NIedge 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 \NIth respect to this Bid, <br /> <br />The undersigned Is authorized to make this Affidavit on behalf of, <br /> <br /> <br />a, ft. h/;tt rQ.~ I (L ('M~ S <br />(Type of Business) <br /> <br />of which he is <br /> <br />~J!.r::~otP~ . <br />(Sole Owner, Partner, President. etc,) <br /> <br />Nt( <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 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 describad 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 . b r or agent thereof. <br /> <br /> <br />~ <br /> <br />j <br /> <br />IrIS- (~ <br />AFFIANrs TITlE <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this ~ day of m~ <br />Personally Known X" or Produced Identification <br />- <br /> <br />Type of identification <br /> <br />(AffIX seal here) <br /> <br />CAROLYN NEPO <br />NOTARY PUBLIC-STATE OF NEW YORK <br />No. 01NE6117340 <br />, QUQllfled In Nassau CO~~"'j ~ <br />My Comml,,'on ExpIres .)J!jJ..~ <br /> <br />DecEMBER 28, 2010 <br /> <br />.20d} <br /> <br /> <br />1 of 7 <br /> <br />SIB <br />