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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: (305) 949-3113 <br /> <br />STATE OF FLORlDA \ <br /> <br />COUNTYOFBalW;l~ . ) <br /> <br />The undersigned being first duly swom as provided by law, deposes, and says: <br /> <br />Thls 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 Jt may take with respeclto this Bid. <br /> <br />The undersIgned is authorized to make thIs Affidavit on behalf of, <br /> <br />A(\~"\"\()rJ L~ br;e. HA~G,f"Nf'm-t lS6Jf'\ ~ Conne.c-\ ~o~ <br />(Name of Corporation, pa ersnip, Individual, etc.) . <br /> <br />of which he Is <br /> <br />a'~e'd- ..$\QJt;~ <br />TyPe fBuslness) <br />~r-e C) :CJ)f>(I'"\-t <br />(Sole Owner, Partner, President, etc.) <br /> <br />. fanned under the laws of t\0Rida. <br />(State) <br /> <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 actlon for thls Bid by the City, also that no head of any <br />department or employea therein, or any officer of the City of Sunny Isles Beach, Aorida is directly Interested thereIn. <br /> <br />Thls 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 8trf proposers or person, firm or corporation, to put In a sham Bid, or that such person, firm or <br />corporatlon, shall refrain m Bidding, and has not In any manner, dlreclfy or Indirectly, sought by agreement o~ collusIon, l?r communlcallon <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 desCli above true: and further; neither the undersigned, nor the person, firm or corporation named above In Paragraph <br />10.2, has directly or Ind ctfy submitted said Bid or the contents thereof, or divulged infonnation or data relative thereto, to any association or <br />to any mt~ber or age thereof. . <br /> <br /> <br />yc-~-:+-~~ <br />AFFIANT'S TITLE <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME thl~ of <br /> <br />or Produced Identificalfon <br /> <br />\1/1- V <br />/ <br /> <br />. 2rxJJ <br /> <br />Personally Known <br />Type of Identification <br /> <br /> <br />(Affix sealbere) <br /> <br />~. <br /> <br />NOTAR'f PUBLIe-S'l'A'l'E OF FLORIDA <br />~"'"'''''''' Maritza Gomez <br />~ ~: Co~siOD #DD88455Q <br />"",,,...,,.: Expires: APIt 2,. 2013 <br />BOI'fDEb nlRU ATL.'.lmC BONDING co., me.. <br /> <br />[)EcEMB~li28. 2010 <br /> <br />1of? <br />