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(12-04-01) Professional Architectural and Engin. Svcs - Individulas Only CCNA
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Caltran Engineering Group
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Last modified
6/12/2012 2:00:26 PM
Creation date
6/12/2012 1:55:49 PM
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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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SvNNY tg�e <br />J' <br />O� O <br />r - <br />y NON - COLLUSION AFFIDAVIT <br />V :' 2 <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />` 'Ile" F L O", Sunny Isles Beach, FL 33160 <br />or SQ Telephone: (305) 947 -0606 Fax: (305) 949 -3113 <br />STATE OF FLORIDA <br />COUNTY OF Miami -Dade) <br />I l The undersigned being first duly sworn as provided by law, deposes, and says: <br />f j 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 />IF The undersigned is authorized to make this Affidavit on behalf of, <br />f Juan S. Calderon, PE <br />(Name of Corporation, Partnership, Individual, etc.) <br />r� <br />a, Individual formed under the laws of FL <br />(Type of Business) (State) <br />of which he is Individual <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 />j 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 subbltk ®d °sl'd Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any member o. g6 - theteof. <br />VP of Caltran Engineering Group, Inc. <br />AFE*T4T'S NANt - uan S. a eron, PE AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 1 day of OCIL^ 204y2 <br />Personally Known _ or Produced Identification <br />Type of identification <br />(Affix seal here) <br />hoar orle Beatriz Hernandez <br />41ti1k i0NsrEE174101 <br />FL�3. 28, 2016 <br />W"%'.AAWNIVOTARY.com <br />DECEMBER 28, 2010 1 of 7 <br />
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