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RFP No. 12-01-01 Restroom Structural Beam Restoration
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ABE American Building Engineers
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Last modified
2/8/2012 9:32:51 AM
Creation date
2/8/2012 9:31:57 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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<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 t1,Gtm { - J)orJe <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 />?/fCCtIl ;i5v; IrlK <br /> <br /> <br />--- . <br />rfo /; drA <br /> <br />(State) <br /> <br />of which he is <br /> <br />?c. <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 informalion or data relative thereto, to any association or <br />to any member or agent thereof. <br /> <br /> <br />p r .~.~.: ~ <br /> <br />AFFIANT'S TITLE <br /> <br />TAKEN, SWORN ANrCRIBED TO BEFORE ME Ih_ J.b day J ()Jlv1 <br />Personally Known or Produced Identification ; <br />Type of ~e"tifi",I;," 'l>~ t.' Cu.-h.. a I . . /./ ~cl btrL <br /> <br />(Affix seal here) ~17({lrYl ~~ <br />NOTARY PUBLIC (name printed or typed) <br /> <br />,20~2. <br /> <br /> <br />BAHRAM ABIDIAN <br />MY COMMISSION # DD 989618 <br />EXPIRES: May 9, 2014 <br />Bonded Thru Notary Public Underwriters <br /> <br />DECEMBER 28, 2010 <br /> <br />1 of 7 <br />
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