|
<br />)
<br />)
<br />)
<br />- )
<br />)
<br />)
<br />)
<br />)
<br />I -)
<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 Broward )
<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 />Manuel Synalovski Associates, LLC
<br />(Name of Corporation, Partnership, Individual, etc,)
<br />
<br />Limited Liability
<br />a,
<br />(Type of Business)
<br />
<br />Florida
<br />, formed under the laws of
<br />
<br />(State)
<br />
<br />of which he is
<br />
<br />Managing Principal
<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 submitte s 'd d or the contents thereof, or divulged information or data relative thereto, to any association or
<br />to any member or agent thereof,
<br />
<br />Manuel Synalovs
<br />AFFIANT'S NAME
<br />
<br />
<br />Managing Principal
<br />AFFIANT'S TITLE
<br />
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this ,?::> day of ~0' \ \
<br />Personally Known t/ or Produced Identification
<br />
<br />,2012,
<br />
<br />Type of identification
<br />
<br />V'\JC\
<br />,
<br />
<br />(Affix seal here)
<br />
<br />
<br />(2, 1fV\~
<br />
<br />~,'II\" "'""'11
<br />~"'\~\. C. MAR!:~/~/.
<br />~ ~~ ..........'v 0-
<br />~ '" ..~~\SSION ~;,.. ~
<br />~ .: c;C i..~ \9, 201. ~... ~
<br />- .::... ~ ,.. 'if,. -
<br />~ :~ :*~
<br />-*. ... .-
<br />~ ~ \ #00983384 : ~$
<br />~o. {:?..g;::~
<br />~ ~ ..%~ 8ondedW."\~<f..(";::~
<br />~ ?>r"..'YPUblic\J~d' ... ~"" ~
<br />~ 1>/./........1(:.. G '!tt.~
<br />'11111 'BUe 51 t>,'\ \\\~"
<br />1/111/1 it ,,1\1\'
<br />
<br />N
<br />
<br />DECEMBER 28,2010
<br />
<br />1 of 7
<br />
|