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<br />. <br /> <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 /> <br />STATE OF FLORIDA ) <br />COUNTY OF Miami-Dade) <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 />) <br /> <br />The undersigned is authorized to make this Affidavit on behalf of, <br /> <br />WJN(;EF-TER LABORATORIES,INC. <br />(Name of Corporation, Partnership, Individual, etc.) <br /> <br />a, <br /> <br />T::orporation <br />(Type of Business) <br /> <br />, formed under the laws of <br /> <br />FL <br />(State) <br /> <br />ofwhict-ehe 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 />10,2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any member or agent thereof. <br /> <br />Jill W. Chin-You <br />AFFIANT'S NAME <br /> <br />President <br /> <br />AFFIANT'S TITLE <br /> <br />) <br /> <br />TAKEN, 'SWORN AND SUBSCRIBED TO BEFORE ME this ~ day of ..1Zt. ~ <br />./' or Produced Identification <br /> <br />,20f!1 <br /> <br />Personally Known <br /> <br />Type of identification <br /> <br />~,\\\\III1l/''''11. <br />~\"\SJ!J..M. PAl;>, "'I~ <br />~ v.~ .........,::t~A'\~ <br />~ ..~~\SSIONl.;T ~ <br />.~ .'rP' IY 1" :to 0 ~ <br />~ ..~'" ~'i:;?' u,<'! 120. <;;. <br />:: :~~ %~~ ~ <br />~*: ".-0 :*0. <br />~ '5 ~ #00851568 : ~, :; <br />~;..\. -1t. :~,... <br />~ ~ 00 :~r. 80fJded \\\\11 ,~:~':>o' cr $:: <br />.~ rA . /;P"b/ic un6e~~.;. <.:":$' <br />,.~ ue ....... Cl" *, <br />, 'III/. ZlC, ST~i'C. ~,\~ <br />;flff/HII I ",,\\\\ <br /> <br /> <br />- L;./c'.A M 4r'Cf.r <br />m.JBLlC (name printed or typed) <br /> <br />(Affix seal here) <br /> <br />DECEMBER 28, 2010 <br /> <br />1 of 7 <br /> <br />. <br />