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RFP No. 09-11-01 Prof. Design & build svcs. for skateboard park
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Pios & Sons
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Last modified
5/13/2011 3:53:42 PM
Creation date
5/13/2011 3:52:43 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Design & build svcs for skateboard park
Bid No. (xx-xx-xx)
09-11-01
Project Type (Bid, RFP, RFQ)
RFP
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<br />) <br />>> <br />~ <br />) <br />l <br />-. <br />. <br />l <br />~ <br />l <br />~ <br />.... <br />~ <br />l <br />-. <br />~ <br />:l <br />. <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />STATE OF FLORIDA <br /> <br />COUNTY OF MIAMI-DADE <br /> <br />The undersigned being first duly sworn as provided by law, deposes, and says: <br /> <br />1.1. This Affidavit is made with the knowledge and intent that it is to be filed with the <br />City of Sunny Isles Beach City Commission and that it will be relied upon by said City, in <br />any consideration which may give to and any action it may take with respect to this proposal. <br /> <br />1.2, The undersigned is authorized to make this Affidavit on behalf of, <br />Pios and SODS EDt erprises. (Name of Corporation, Partnership, <br />Individual, etc.), a corporation duly organized and existing under the laws of the State of <br />Florida of which he is President (Sole Owner. <br />Partner, President, etc.) <br /> <br />...... <br />II' <br />- <br />. <br />-... <br />",p <br />~ <br />..~ <br />~ <br />",p <br /> <br />1.3. Neither the undersigned nor any person, firm, or corporation named in above <br />Paragraph 1.2, nor anyone else to the knowledge of the undersigned, have themselves <br />solicited or employed anyone else to solicit favorable action for this proposal by the City, <br />also that no head of any department or employee therein, or any officer of the City of Sunny <br />Isles Beach, Florida is directly interested therein, <br /> <br />~ <br />~ <br />1 <br />1 <br />) <br />... <br />1 <br />) <br />1 <br />) <br />) <br />l <br />} <br />l <br />l <br />) <br />. <br />l <br />) <br />. <br /> <br />1.4. This proposal is genuine and not collusive or a sham; the person, firm or corporation <br />named above in Paragraph 1.2 has not colluded, conspired, connived or agreed directly or <br />indirectly with any Proposer or person, firm or corporation, to put in a sham proposal, or that <br />such person, firm or corporation, shall refrain from Proposing, and has not in any manner, <br />directly or indirectly, sought by agreement or collusion, or communication or conference <br />with any person, firm or corporation, to fix the prices of said proposal or proposals of any <br />other Proposer; and all statements contained in the proposal or proposals described above are <br />true; and further; neither the undersigned, nor the person, firm or corporation named above in <br />Paragraph 1.2, has directly or indirectly submitted said proposal or the contents thereof, or <br />divulged information or data relative thereto, to any association or to any member or agent <br />thereof <br /> <br />Hector M, Ortiz <br />AFFIANT'S NAME <br /> <br />~ <br /> <br />President <br />AFFIANT'S TITLE <br /> <br />19 <br /> <br />..... <br />, <br />
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