Laserfiche WebLink
`)0 �5(F <br />NON - COLLUSION AFFIDAVIT <br />V� <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 />STATE OF FLORIDA C1- ) <br />COUNTY OF - <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 />Ross Engineering Inc. <br />(Name of Corporation, Partnership, Individual, etc.) <br />a, Civil Engineering formed under the laws of FL <br />(Type of Business) (State) <br />of which he is Vice 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 />Robert Ross, P.E. Vice President <br />AFFIANT'S NAME AFFIANT S TITLE <br />TAKEN, SWORN AND SUBSJGRIBED TO BEFORE ME thi�;kz day of 'wz 2002_ <br />Personally Known or Produced Identification <br />Type of identification r/ <br />(Affix seal here) <br />PAP P!AS ?cP y Putsh( riale of pniar <br />My Cumn i xpur•s May 2 <br /># <br />DECEMBER28,2010 <br />1 of 7 <br />printed or, <br />28 <br />