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NON- COLLUSION AFFIDAVIT <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />toP�oo +`� Sunny Isles Beach, FL 33160 <br />$11,'' Telephone: (305) 947 -0606 Fax: (305) 949 -3113 <br />STATE OF FLORIDA ) <br />COUNTY OF Miami -Dade ) <br />The undersigned being first duly sworn as provided by law, deposes, and says: <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 />The undersigned is authorized to make this Affidavit on behalf of, <br />SRS Engineering, Inc. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a, Corporation formed under the laws of Florida <br />(Type of Business) (State) <br />of which he is President <br />(Sole Owner, Partner, President, etc.) <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 />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 direr or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any menlb or agent th reof. <br />47 <br />Ign Io Serralta President <br />AFFI T'S NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 1 day of May , 20012 <br />Personally Known or Produced Identification , <br />Type of identification <br />(Affix seal here) <br />RALPH ALBERT PEREDA <br />:' •'c MY COMMISSION # DD 808400 <br />EXPIRES July 23, 2012 <br />(407) 388 0163 FIoMsWsry8erYW,00m <br />Ralph A. Pereda <br />NOTARY PUBLIC (name printed or typed) <br />9� <br />DECE /.6ER 28, 2010 1 of 7 <br />