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(12-04-01) Professional Architectural and Engin. Svcs - Individulas Only CCNA
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Sun Tech
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Last modified
6/12/2012 11:43:43 AM
Creation date
6/12/2012 11:38:46 AM
Metadata
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CityClerk-Bids_RFP_RFQ
Project Name
Prof. Architectural & Engineering Svcs - Individuals
Bid No. (xx-xx-xx)
12-04-01
Project Type (Bid, RFP, RFQ)
RFQ
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SiSNNY fSCE <br />NON — COLLUSION AFFIDAVIT <br />U <br />City of Sunny Isles Beach <br />s.'. 18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />9' 5,,,, Telephone: (305) 947 -0606 Fax: (305) 949 -3113 <br />STATE OF FLORIDA <br />COUNTY OF Broward ) <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 />Sun -Tech 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 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 />111e) President <br />FFI NT E AFFIANT'S TITLE <br />TAKEN, SWORN AND TO BEFORE ME thiscR� day of A rg) L 20e a <br />Personally Known V or Produced Identification <br />Type of identification <br />�,`1�t1111111111f/ <br />(Affix s�' <br />yZo„�'% <br />Np 0611312014 <br />cn ` Comm/.$ <br />sion <br />P <br />////// OF I F L �t00\�� <br />DECEMBER28,2010 <br />� �L <br />NOTARY PUBLIC (name printed or type <br />26 <br />
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