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<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 ,.Miami-Dade)
<br />
<br />The undersignecl being first duly swom as provided b~llaw, cieposes, and says
<br />
<br />Trlis Affidavit is made with the knowledge ancl intent that it is to be filed witrl 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 trlis Bid
<br />
<br />The undersigned is authorized to make this Affidavit on behalf of,
<br />
<br />Corzo Castella Carballo Thompson Salman, PA
<br />-----------------
<br />(Name of Corporation, Partnersllip, Individual, etc.)
<br />
<br />a, Corporati~_____, formed undedlle laws of _ Florida __
<br />(Type of Business) (State)
<br />
<br />of which he is ~oundingJJincipal _______
<br />(Sole Owner, Partner, President, etc.)
<br />
<br />Neither tile undersigned nor any person, film, or corporation named in above Paragraph 10,2, nor anyone else to the knowledge of tile
<br />undersigned, have themselves solicited or employed anyone else to solicit favorable action for tllis Bid by the City, also that no head of any
<br />department or employee therein, or any officer of trle City of Sunny Isles Beacrl, Florida is directly interested therein.
<br />
<br />This Bid is genuine and not collusive or a sllam: the person, firm or corporation named above in Paragrapll '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 otrler proposers: and all statements contained in
<br />the Bid or Bids described above true: and fiJrther: neither the undersigned, nor the person, firm or corporation named above in Paragraph
<br />10.2, Ilas directly or indirectly submitted said Bid or the contents thereof, or divulged information or clata relative thereto, to any association or
<br />to a member or agent thereof.
<br />
<br />~
<br />orzo, PE, CFM
<br />
<br />------
<br />AME
<br />
<br />
<br />Founding Principal
<br />----------
<br />AFFIANT'S TITLE
<br />
<br />T,l\KEN, SWORN AND SUBSCRIBED TO BEFORE ME tllis ~y of _~elt?~~, 20,j
<br />Personally Known _~_ or Produced Identification __:
<br />
<br />T~lpe of identification__________
<br />
<br />(Affix seal here)
<br />
<br />~un~~~
<br />
<br />---------
<br />NOTARY PUBLIC (name printed 01" typed)
<br />
<br />
<br />AURORA ELENA RODRIGUEZ
<br />MY COMMISSION # EE 074455
<br />EXPIRES: July 16,2015
<br />Bond~d Thru Notary Public Underwriters
<br />
<br />DECEMBER 28,2010
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