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<br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />city of Sunny Isles Beach <br />18070 Coffins AventJ8 <br />Sunny Isles Beach. FL 33160 <br />TelephOne: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />STATE OF FLORIDA I <br />COUNTY OF 8tl4tVAtf,IJ } <br /> <br />The undersigned being first duly sworn 8S 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 wnl 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 />lJ~n/J~;.I~ ~ f!~ 'f~.J;:r;w!- <br />(Name of Corporation. P /Ship. Indivi ual, etc.) , <br /> <br />a./~~~. <br />(Type of Business) <br /> <br />. .fonned. under the laws of E-lt:I/LI1!k.1 <br />(State) <br /> <br />of which he is <br /> <br />Sour ~~f'h~ - <br />(Sole Owner. ~artner. President, etc.) <br /> <br />Neither the undersigned nor any person. linn. 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 coULJSive or a sham; the person. finn or corporation named above in Paragraph 10.2 has not colluded. conspired, <br />connived or agreed directly or indirectly with -any proposers- 'orllflrson; linn 'or corporation. to put in a sham BkI. or that such person. firm or <br />corporation. shaY 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, finn or corporation. to fix the prices of said Bid or BIds of any other proposers; and aD statements contained In <br />the BId or Bids descrtbed above true; and further; neither the undersigned. nor the person. linn or corporation named above in Paragraph <br />10.2. has directly or indirectly submitted said Bid or the contents thereof. or divulged infonnation or data relative thereto. to any association or <br />to any member or agent thereof. <br />r <br /> <br /> <br />fJ /lIS 10tM1' <br />AFFIANT'S mLE <br /> <br />TAKEN. SWORN AND SUBY;RIBED TO BEFORE ME this 2. ( day of <br />Personally Known V or Produced IdenUfication ; <br /> <br />1'1&11..., <br />/ <br /> <br />, 201L. <br /> <br />Type of Identification <br /> <br /> <br />(AffIX seal here) <br /> <br />NOT <br /> <br />~..,. TEO'IlMO OSORIO <br />~ MYCOMMISSIONilJ!11215'7t5 <br />~ J!JCPIRES: 0l*lIB2lI,2014 <br />loIIlNoNOTAIY F1 N*'Y IliIeIuIl AIIac. 01. <br /> <br />.. <br /> <br />ClECEMllER 2G. 2010 <br /> <br />10f7 <br /> <br />..., \ <br /> <br />-0 <br />