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Tally Engineering, Inc.
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(11-07-01) Special Inspection Svcs, including Geotechnical/Const. Admin.
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Tally Engineering, Inc.
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Last modified
8/30/2011 2:27:13 PM
Creation date
8/30/2011 2:26:27 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Special Inspection Svcs including Geotechnical
Bid No. (xx-xx-xx)
11-07-01
Project Type (Bid, RFP, RFQ)
RFQ
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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 FLORIDA <br />COUNTY OF Florida <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 />Tally Engineering, Inc. <br />(Name of Corporation. Partnership, Individual. etc.) <br /> <br />a, Corporation <br />(Type of Business) <br /> <br />. formed under the laws of Florida <br />(State) <br /> <br />of which he is President <br /> <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 from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication <br />or conference with any 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 in Paragraph <br />10. directly or indirectl ubmitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to.a y m mber or agent thereof. <br /> <br /> <br />President <br />AFFIANT'S TITLE <br /> <br />Pirooz Borojerdi <br />AFFIANT'S NAME <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this ~ day of <br /> <br />July <br /> <br />, ,2011i <br /> <br />Personally Known <br /> <br />x <br /> <br />or Produced Identification <br /> <br />Type of identification <br /> <br />~~, <br /> <br />(Affix seal here) <br /> <br />l~'f~> MARILYN MEDINA 9 <br />=*: Lt'};.'" :*~ MY COMMISSION # EE 029888~ <br />~.~.~l EXPIRES: September 27,2014 <br />"!.1..iif~~" Bonded Thru Notary Public UnderwritelS <br /> <br />Marilyn Medina <br />NOTARY PUBLIC (name printed or typed) <br /> <br />DECEMBER 28,2010 <br /> <br />1 of 7 <br />
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