|
<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{1&VH::mJ/i
<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 Beaeh 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 respeet to this Bid.
<br />
<br />The undersigned is authorized to make this Affidavit on behalf of,
<br />
<br />Savino & Miller Design Studio, P.A.
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />
<br />a, corporation
<br />(Type of Business)
<br />
<br />. formed under the laws of Florida
<br />(State)
<br />
<br />of which he is President
<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 solieited 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 />Thi~ Bid is genuine and not collusive or a sham; the person, firm or eorporation n~ed above in Paragraph 10.2 has not eolluded, conspired,
<br />connived or agreed directly or indireetly with any proposers or person, firm or eorporation, to put in a sham Bid, or that sueh person, firm or
<br />corporation, shall refrain from Bidding, and has not in any manner, directly or indireetly, sought by agreement or eollusion, or eommunication
<br />or conference with any person, firm or eorporation, to fix the priees of said Bid or Bids of any other proposers; and all statements eontained in
<br />the Bid or Bids deseribed above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
<br />10.2, has directly or indireetly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any assoeiation or
<br />
<br />to~
<br />
<br />Adriana Savino-Miller
<br />AFFIANT'S NAME
<br />
<br />President
<br />AFFIANT'S TITLE
<br />
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 9th day of April
<br />
<br />,2012
<br />
<br />Personally Known
<br />
<br />or Produeed Identification ".-
<br />
<br />Type of identification
<br />
<br />p<- pv >t 4-100 - 007- ~"'-!;<fc;, . /?
<br />
<br />U:U.Ma'~ ?) /,/- -.
<br />NOTARY PUBLIC (name print (j Ortyped)-/
<br />
<br />)
<br />/
<br />/
<br />/'
<br />
<br />..,.
<br />
<br />
<br />(Affix seal here)
<br />
<br />"\\lU/',,
<br />,:o'~\~"v Pt4::.", CRISTlANA GRULLON
<br />g "': *." ~ Notary Public - State 01 Florida
<br />~ ~ *. : ;~ My Comm. Expires Aug 26, 2015
<br />-;.,~}: ~-$>l .. EE 100586
<br />".,f" OF fCo", CommiSSion #
<br />"'11111"\
<br />
<br />DECEMBER 28, 2010
<br />
<br />1 of 7
<br />
|