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NNY_ IS, Fj. NON - COLLUSION AFFIDAVIT v x City of Sunny Isles Beach 18070 Collins Avenue ` tiF c 9' • oa �'D s P Sunny Isles Beach, FL 33160 'Y o, su " Telephone: (305) 947 -0606 Fax: (305) 949 -3113 STATE OF FLORIDA J COUNTY 0� ) The undersigned being first duly sworn as provided by law, deposes, and says: 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 relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, 5arhtt A -(Anao Wn-Ariarj-ion (Name of Corporation, Partne( ip, Individual, etc.) a, Cor.iO(f-at l on formed under the laws of Fl Oad Q (Typb of Business) (State) of which he is 'P(' _q id A) f (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive T a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, connived or agreed directly or indir y with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall refrain from B' ing, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or co nce wit y per , firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the id or id escri above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph 10 , has di tly irectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any mem r a nt therp•� m�f ;`'O . Xe z �ras,gt�P �t AFFIANT'S TITLE TAKEN, S ORN AND SUBSCRIBED TO BEFORE ME this day o C e/ 206 Personally ((Known or Produced Identification Type of identification X00'" 09*. Notary Public State of Florida ' Miriam M Farley \ar My Commission DD921083 (Affix seal here) �of �o� Expires 11/13/2013 NOTARY PUBLIC (name printed or typed) DECEMBER 28, 2010 1 of 10