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NON- COLLUSION AFFIDAV <br />y' City of Sunny Isles Beach <br />k i <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br />qrr of suN "o Telephone: (305) 947.0608 Fax: (305) 949.3113 <br />STATE OF FLORIDA <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 />relle"pen by- said - County in anyconsideration 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 />(Name of Corporation, Partnership, Individual, etc.) 1 <br />a, geLhl ��IQP , formed under the laws of 1 tOV ( VlL- <br />(Type of Business) (State) <br />of which he is G 2 / T \p JA C-G 2 <br />(Sole Ownerartner, 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 an 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 ' scribed abo 6 true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />10 ,s directly or indirectly i ed said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />o G pH erg( t, <br />AFFIANT AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME thi910day of �(y 2 ON, <br />- <br />Personally Known �-? or Produced Identification <br />Type of identification i D L_ <br />(Affix seal here) <br />g' <br />�k,109'y "Po Notary Public State of Florida <br />i Michael Sinclair <br />o. My Commission DD898039 <br />Expires 06 /2212013 <br />V, <br />1 <br />(INIOARY PUB C (nam Tinted or typed) <br />0 �� rC/ &-( S (A �f <br />DECEMBER 26, 2010 1 of 7 <br />