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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) 947-0606 Fax: (30S) 949-3113
<br />
<br />STATE OF FLORIDA ~
<br />COUNTY OF Ba.:u.x~1
<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 />Ac-\\nk) L..a \::;r:.e. HA 0,AC.."t;>hf'rn-t" I....<).hr\", U5 Connec.-\ ~O~
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />
<br />a'~\cUH(I.A S\u.fC~
<br />Type bf Business)
<br />
<br />,formed under the laws of tY:>R-,da.
<br />(State)
<br />
<br />of which he is
<br />
<br />~r -e <) =r l)f>rY\-t
<br />(Sole Owner, Partner, President, etc.)
<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 f om Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication
<br />or conference with any p rson, 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 describ . above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
<br />10.2, has directly or indo ectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or
<br />to any member or age thereof.
<br />I .
<br />
<br />
<br />Yr-c...~ ':+-~~
<br />AFFIANT'S TITLE
<br />
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this~ of
<br />
<br />Personally Known
<br />
<br />or Produced Identification
<br />
<br />)~HV
<br />/
<br />
<br />,2041
<br />
<br />
<br />~.
<br />
<br />
<br />e printed or typed) ~
<br />
<br />Type of identification
<br />
<br />(Affix seal here)
<br />
<br />NOTARY PUBUe-STATE OF FLORIDA
<br />.t'......,.,'i. Marina Gomez
<br />~._) Co~mis,sion # DD884556
<br />'.,....... ExpU'es. AFR. 27, 2013
<br />BONDED nlRU ATLANTIC BONDING CO., INe.
<br />
<br />DECEMBER 28, 2010
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