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O� �uNNY rgz� . <br />NON - COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />1807Q Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Telephone: (305) 947 -0606 Fax: (305) 949 -3113 <br />STATE OF FheRf9A— ) <br />9 ) <br />COUNTY OF c� A <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 />--talk <br />(Name of Corporation, Partnershi), Intl i ual, etc.) <br />a, -- �a rooyl formed under the laws of <br />(Type Business) (State) <br />of which he is _ -- L j 4�(j �Q{{ <br />(Sole Owner, P rtner, 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, 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 mamher or agent thereof. <br />r� -Lim <br />j <br />A IANT'S N ME �r �� <br />A FIANT S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 0 day of <br />Personally Known _ - -- or Produced Identification <br />Type of identification C- <br />(A <br />DONG GU KIM <br />Commission # 1805718 <br />Notary Public - California <br />Los Angeles County <br />My Comm. Expires Jul 30, 2012 <br />DECEMBER 28, 2010 <br />NOTARY PUBLIC (name prin d or typed) <br />Vh <br />1 of 7 <br />