|
SUNNY is,e .
<br /> do4t....._,...
<br /> .�,_�,,eiNON - COLLUSION AFFIDAVIT
<br /> 0 z
<br /> City of Sunny Isles Beach
<br /> • _� "' ,.' 18070 Collins Avenue
<br /> 4,•/ 9'•Fioa`° 4`' Sunny Isles Beach,FL 33160
<br /> e'''or sus"" Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF 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 /> Cool-Breeze Air Conditioning Corp.
<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 /> Frank Crawley ;,,A, 17.
<br /> President
<br /> AFFIANT'S NAME AFFIANT'S TITLE
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME thist9% ay of.ce 6e.�,l 1j )GGI'�
<br /> d .
<br /> Personally Known .� or Produced Identification /
<br /> Type of identification
<br /> (Affix seal here) / 01
<br /> i N; -3 , S\ eZ
<br /> A NOTARY PUBLIC(name printed or typed)
<br /> 10 41116,
<br /> ;ili;: Nltdl J SUAREZ
<br /> ': MY COMMISSION#FF958965
<br /> .,,a� , EXPIRES April 14.2020
<br /> 1407)340'53 floricar+a:sryswrvio.co/r
<br /> DECEMBER 28,2010 1 of 10
<br />
|