Laserfiche WebLink
NNV <br />SV --,S1F <br />NON—COLLUSION AFFIDAVIT <br />i, <br />City of Sunny Isles Beach <br />12070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305)947-0606 Fax (305) 949-3113 <br />STATE OF FLORIDA <br />COUNTY OF jjQ6Mt-2ads) <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 />_0'Legy Richards Design Associates, Inc. <br />(Name of Corporation, Partnership, Individual, etc..) <br />a, Corporation formed underthe laws of _Florida _ <br />(Type of Business-) (State) <br />ofwhich he is _President <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 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 />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, finn 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 orthe contents thereof, or divulged information or data relative thereto, to any association or <br />to any member or agent thereof. <br />Kathryn O'Leary Richards President <br />AFFIANT'S NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this -y_ day of <br />Personally Known or Produced Identification L— ; <br />Type of identification 2(;, 3—'rJ /c 4' 3-60 — (� <br />(Affix sear here) <br />JpRDANA pINCAY sL�rC��7�?Ga?�hcnv <br />�r�?u NOTARY PUBLIC (name rinte or typed) <br />Y} Notary Public, State of Florida <br />commission #EE 01M <br />�F flog' My Commission Expires Sep. 06, 2016 <br />DEC EMBER 2E, 201U 1 of 7 60 <br />