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<br /> <br />NON-COLLUSION AFFIDA VIT <br /> <br />01 :\Ul'l <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 t(UU,,)(k.(U <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 />of which he is <br /> <br />a,~M~lN\ <br /> <br />.L Li .. ( e of BUSiness) <br /> <br />[)( ,iW <br /> <br />, formed under the laws of <br /> <br />=Y <br />~ <br /> <br />(State) <br /> <br /> <br />~<; <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 />~t <br /> <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this', 11 day of ~&( lA..fH'1 <br />Personally Known V or Produced Identification <br /> <br />AFFIANT'S TITLE <br /> <br /> <br />ofnw <br /> <br />(wdD <br /> <br />, 20~J J. <br /> <br />Type of identification <br /> <br />(Affix seal here) <br /> <br />"":11 <br />"UII" <br />..1>"i(I..rt::'".. VICKIE L HEROLD <br />N"A~.i MY COMMISSION H EE 08211( , <br />~'~~'l EXPIRES: April 10,2015 f <br />"~.;;"!i.::r.;., Bonded Thru Notary Public Underwriters t- <br />""" ~ <br />l~'~ <br /> <br />WkA.L ~. gQ;jM.(n <br />NOTARY PUBLIC (name printed or typed) <br /> <br />DECEMBER 28. 2010 <br /> <br />1 of 7 <br />