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i <br /> S‘lI.INYISzF <br /> h -- AT-, NON - COLLUSION AFFIDAVIT <br /> .II - -,:-., City of Sunny Isles Beach <br /> C:7— r 18070 Collins Avenue <br /> SE c99''FT-09k % Sunny Isles Beach,FL 33160 <br /> xo <br /> •'o.sv=-' Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA ) <br /> COUNTY OFMiami 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 /> Bettoli Trading Corp. D/B/A Bettoli Vending <br /> (Name of Corporation,Partnership,Individual,etc.) <br /> a,Full Line Vending Operator ,formed under the laws of Florida <br /> (Type of Business) (State) <br /> of which he is Director of Operations . <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 /> Jt <br /> Maurizio L Bettoli4 Director of Operations <br /> AFFIANT'S NAME AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this ie day of 1 ,201, <br /> Personally Known or Produced Identification !" 1 <br /> Type of identification r <br /> (Affix seal here) \14 <br /> \\ei� 0-ccI‘7...':'�4;z-.1/04,J7 '✓i�� • •TARY PUBLIC(name print: •r typ-.. <br /> '. O <br /> rz, •,b,21 , .0.a <br /> p° 4 F F 131781 ;`c? <br /> 41111 ,F.;)--A..::?..`-'bbtr.k30;.,;<K\-.;z3' <br /> 1 of 7 <br />