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vI.INY 1S
<br /> S/ Y yF
<br /> ,..:,012:- . ,,,,
<br /> ! NON- COLLUSION AFFIDAVIT
<br /> vj' s}n
<br /> \ J City of Sunny Isles Beach
<br /> ; _`�. 18070 Collins Avenue
<br /> `` '•F%.o 9' as; Sunny Isles Beach,FL 33160
<br /> 'Or s w,' Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF M i-1'hi )
<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 /> J®tal®®ait.sTe3waises guic.064116 J®m®®%A®c tai` las
<br /> (Name of Corporation,Partnership,Individual,etc.) CADItazi T T®ra,
<br /> a, 3 CAA•00•PatrarttAr i emiza,formed under the laws of P woo.%®A,
<br /> (Type of Business) (State)
<br /> of which he is SMILda 0 wtainI%
<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 /> a. ; �lt�.e P,RCSI®=�4T
<br /> AFF T'S AME AFFIANT'S TITLE
<br /> TAKE A •: AND SUBSCRIBED TO BEFORE ME this b day of Jr4NIJA/4-1 ,20/1
<br /> Personally Known or Produced Identification /
<br /> Type of identification
<br /> (Affix seal here) a 4-______
<br /> Y PUBLIC(name printed or typed)
<br /> ...4.. JOSE ANTONIO ALONSO
<br /> :.: a■s ;.: Commission#FF 083252
<br /> ''t.P Expires February 22,2018
<br /> ---z,,VA'. Banded Thru Tray Fan Insurance 800-385-1019
<br /> DECEMBER 28,2010 1 of 10
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