Laserfiche WebLink
<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 MiOM,ti:Va.d~ <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 />of which he is <br /> <br />Vw?irst COrpoyaJo1A <br /> <br />(Name of Corporation, Partnership, Individual, etc.) <br /> <br />a, 1v~~tiYia.! UUi{or~ ~taJ 1\ 0!;~~~er the laws of MasSllCkM S~ffg <br /> <br />(Type of Business) (State) <br /> <br />lOCQfi ~sole~~r~l~er, 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 hereof. <br /> <br /> <br />Ice 1t/4,W7 f/J7.(JMQJ-L- V <br />AFFIANT'S TITLE <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this :;0 day of <br />Personally Known ~or Produced Identification <br /> <br />S-epl.emhcr rI J <br />~ ' 20'/1. <br /> <br />Type of identification <br /> <br /> <br />~~ <br /> <br />(Affix seal here) <br /> <br /> <br />~YPCl~ <br />~'l<r. <br />. . <br />'" _. <br />~........ ", ~ <br />.~Of fl-O~ <br /> <br />Notary Public State of Florida <br />Blanca Feliz <br />My Cummission 00875176 <br />Expires 03/29/2013 <br /> <br /> <br />DECEMBER 28. 2010 <br /> <br />1 of 7 <br />