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RFP No. 12-01-01 Restroom Structural Beam Restoration
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ABC Construction, Inc
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Last modified
2/8/2012 8:58:52 AM
Creation date
2/8/2012 8:56:53 AM
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CityClerk-Bids_RFP_RFQ
Project Name
Restroom Structural Beam Restoration
Bid No. (xx-xx-xx)
12-01-01
Project Type (Bid, RFP, RFQ)
RFP
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r 1 <br /> <br />r 1 <br />I <br /> <br />1 <br />I <br /> <br />r 1 <br /> <br />t <br />-. -1 <br />I <br /> <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />Teleflhone: (305) 947-0606 Fax: (305) 949-3113 <br /> <br />-STATEOFF~A-) <br />COUNTY OF ole) <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 />& /J~ 712- u (!.j,~ <br /> <br />(Name of Corporatio.!.1 Partnership, Individual, etc,) <br /> <br />of which he is <br /> <br />/l-IJ;(! <br /> <br />/ J:;t--/' <br /> <br /> <br /> <br />, formed under the laws of F jp n C/..q <br />(State) <br /> <br />a, (& /l Pl?IlA-77Dd'J <br /> <br />(Type of Business) <br /> <br />jJAf~'dtu /. <br /> <br />(Sole Owner, Partner, 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 thereof, <br /> <br />f1e Yr dR.4 <br /> <br />AFFIANT'S TITLE <br /> <br />~!:r'~~ME ~TJuJf:J <br /> <br />r <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME thiS!2.I:... day of R h <br />Personally Known V or Produced Identification <br /> <br />Type of identification <br /> <br />(Affix seal here) <br /> <br />DECEMBER 28, 2010 <br /> <br />,20rtd- <br /> <br /> <br />1 of 7 <br />
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