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<br />) <br /> <br />I <br />I <br />I <br />1 <br />I <br />I <br /> <br />I <br /> <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny I sles Beach, FL 33160 <br />Telephone: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />STATE OF FLORIDA <br />COUNTY OF Broward <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 />Chen Moore and Associates <br /> <br />(Name of Corporation, Partnership, Individual, etc.) <br /> <br />a. Corporation <br />(Type of Business) <br /> <br />Florida <br />(State) <br /> <br />, formed under the laws of <br /> <br />of which he is <br /> <br />President <br /> <br />(Sole Owner, Partner, President. elc.) <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 Paragraph10.2.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 ag'reemeht or collusion. or communication <br />or conference with any person, firm or corporation, to fix the prices of said Bid or Bids or any oiher proposers; a-Ad all statements cOntained Iii <br />the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />1 r/'2' ~as Ireetly or indireell submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any: ber or agent t eor. <br /> <br /> <br /> <br />Peter Moore, P.E., LEED AP President <br />NAME AFFIANT'S TITLE <br /> <br /> <br />, <br />TAKEN. SWORN AND SUBSCRIBED TO BEFORE ME this ~ day of <br /> <br />December <br /> <br />.2011 <br /> <br />Personally Known X <br /> <br />or Produced Identification <br /> <br />Type of identification <br /> <br />(Affix seal here) <br /> <br />'f', ~. <br />NOl~/I.~ <br />NO ARY P BLIC (name printed or typed) <br /> <br />NOTARYPunriC~ST^TE OF FLORIDA <br />(i""'''- r.ei~h Barron <br />{ j CoDloUsSlon#EE098032 <br />""'.n......Explres: JUNE 06, 2015 <br />BONDED nolU ATLA....i/C nO/il)lImco.,!Ne. <br /> <br />DeCEMBER 26, 2010 <br /> <br />CHeRE <br />&A550CIATl:S <br /> <br />1 of 7 <br /> <br />111'0 No. 11-11-01 Civil /.'l1lji/ll'erilllj SI'rl'irl's (n f)l'si!lll S( reel (//1(/ Draill(/ljl' IlI1prOl'ell1l'11ls <br /> <br />7-5 <br />