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<br />.. <br /> <br /> <br />NON-COLLUSION AFFIDAVIT <br /> <br />CIty of Sunny lalea Beach <br />16070 CoIftns Avenue <br />SUl1flY 1.1ee BeaCh. FL 33180 <br />Telephone: (303) 847-<lsoe F.~ (:lOS) 949-3113 <br /> <br />STATI! 01" FLORIDA l <br />CDUNTYOF ~''''H1' .~ <br /> <br />The unde",lgned being tIt8I duly ewern .. provided by law. depo..., and ..yo: <br /> <br />TIlls Affldavlt Ie made wih tho knowledge and InlenlIhat.Is 10 ba flied with tIla Cily of SuMY ISIeI Bueh C~y CommllSion and thetll Will ba <br />relied upon by s.1d County. In any con.ldtnltlon which m.y gl.elo end any action ~ mlY tal<. w1lh ..speet to Ihls Bid. <br /> <br />The undersigned 10 authorized 10 makalhls Allldlvlt on behalf of, <br /> <br />~ ~ 'ifv: Icf; <br /> <br /> <br />Fro 1'; J~ <br /> <br />(Slata) <br /> <br />of whld1 ha Is <br /> <br />Nalther tho undersigned nor any pa",on, 111m, or corporation named In above Paragraph I 0.2, nor anyona else to the knOWledge of lhe <br />Ullderalgned. ha"" the_lvea IOUcltad or ..."Ioyod anyona _ to ..11c~ favlllllbla llCtfon for this IlIcl by the City, aleo thet no held of any <br />depertment or employea therein. or any offIClr of Iha CIIy of Sunny Isl.. Booch. Florldela directly Inllr_dll1ereln. <br /> <br />TIll. Bid I. g.nulne and nol coliuslva or a 9hem; Ihe person. firm or corporalion named a_ In Paragraph 10.2hes not colluded. conspired, <br />connlvod or egreed directly or Indl....1y ,.,;u, eny propoaer. or po..on. firm or corporation, to put In e .hem Bid, or lhalauch person. firm or <br />corporation, .hell refrUl ft'om Bidding. .nd h.. nolln .ny manner, dlrec1ly or Indlroclly. eought by sgraemenl or colluolon, or communlcotlon <br />or conforence \lith .ny p.",on. firm or corporation. 10 fix th8 pllceO of .eld Bid or Bids of any oth.r prope..ra: end allll.temenlll COnlalnod In <br />the Bid or Bids de.crIled ebove true; and further; nalther the undaraigned, nor the p.roan, firm or corporallon ","mad .b.... In Paregreph <br />10.2, has dlreclly or Indlractly .uIlmltlad oald Bid or tha conlllnle lhereof, or divulged Infonnotlon or data relatlvelhirato. to eny a"oofallon or <br />10 any member or agant thereof. <br /> <br /> <br />rr.....'~ <br />AFFIANT'S TIne <br /> <br />TAKEN, SWORN AND'~CRIBED TO BEFORE ME thloJb d8YJ omt7 <br />Personelly Known --L- or Producad Idenlll1cellon : <br />TypaofldanUl1catlon IJ).... l..'c:u........ ~ /'n>/t'l /.J <-clberL <br />(AtIIx ..al hare) <!::::!!...11{~ ~t:n <br />NOTARY PUBUC (nll11e pllnled or typed) <br /> <br />.2012 <br /> <br />. 8AHfIAMA81D1A~ <br />.. I.fYCOt.r.I~S!ON'no9S9618 <br />. ._._~IRES:MeY9.2014 <br />I .....,AlIIQTM:th'oteryPllIlcth1d8rMtle1l <br /> <br />0;,1 ;', <br />t",} .;1 I".~ <br />,,,"" <br /> <br />Ot!CS48ER2B,2010 <br /> <br />lof7 <br />