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<br />n NON - COLLUSION AFFIDAVIT
<br />City of Sunny Isles Beach
<br />+ '^ 18070 Collins Avenue
<br />y� 01, ba'p Sunny Isles Beach, FL 33160
<br />o rY o. sU1. }�u Telephone: (305) 947 -0606 Fax: (305) 849 -3113
<br />STATE OF FLORIDA J
<br />COUNTY OF d Ado, )
<br />The undersigned being .first duly sworn as provided by law, deposes, and says:
<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 />The undersigned is authorized to make this Affidavit on behalf of,
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />a, �t3 Z J012� t l o 1v , formed under the laws of
<br />(Typb of Business) (State)
<br />of which he is _ 1 AAtQ A- V E i-L-
<br />(Sole Owner, Partner, President, etc.)
<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 sollcited 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 />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 arty 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 described above true; and further; neither the undersigned, nor the person, firm or corporation named above..tl1 Paragraph
<br />10.2, has directly or indirectly submitted sold Bid or the contents thereof, or divulged information or data relative thereto, to any association or
<br />to any member or agent thereof.
<br />C, C•l�L,
<br />A A T'S NAM- AFFIANT'S TITLE
<br />TAKEN, SWORN AND SUBSCRIBED 'f0 BEFORE ME this J � day of I � 2001
<br />C%Perso'nally Known or Produced identification
<br />identification
<br />(Affix seal here)
<br />DEC£MBER28,2010
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