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<br />,. <br />) <br /> <br />) <br /> <br />) <br />) <br />. ) <br /> <br />) <br /> <br />) <br /> <br />) <br /> <br />) <br /> <br />) <br /> <br />) <br /> <br />) <br /> <br />) <br /> <br />) <br /> <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 f\I1 iam; -l)(/~d e <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 />--riM f(o-f(y~+im j(pJQUrcPl>.LLC <br />(Name of Corporation, Partnership, Individual, etc.) , <br /> <br />a, <br /> <br />1--/..-(' <br />(Type of Business) <br /> <br />De {a uJ [(.Ie <br />(State) <br /> <br />, formed under the laws of <br /> <br />of which he is 3e n 1M VI '(e Pr/SJ dP n+ <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 there . <br /> <br /> <br />~rr~eMf~I1S{) /lif) <br /> <br />/ lIt ,r'..-. 20 / 2- <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME thisL1L- day of rh'3;2t1Ai( j . 286:. <br />Personally Known Y or Produced Identification <br /> <br />Type of identification <br /> <br />(Affix seal here) <br /> <br /> <br />KIRA M. ELBOURY <br />NOTARY PUBLIC-STATE OF NEW YORK <br />No. 01 EL6127202 <br />Qualified In Westchester County <br />My commission Expires May 23,2013 <br /> <br />N <br /> <br />r typed) <br /> <br />DECEMBER 28. 2010 <br /> <br />1 of 7 <br />