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<br /> `; ' NON - COLLUSION AFFIDAVIT
<br /> 1111 V % _
<br /> �' City of Sunny Isles Beach
<br /> • 18070 Collins Avenue
<br /> '14'iD9'•F Lop'O +`" Sunny Isles Beach,FL 33160
<br /> '',
<br /> '"or sus 'ao Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF Miami-Dad )
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<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 /> Intermedia Touch, Inc.
<br /> (Name of Corporation,Partnership, Individual,etc.)
<br /> a, Digital Signage&Software Integrator formed under the laws of Florida
<br /> (Type of Business) (State)
<br /> of which he is Cristina Miller, President&C.E.O.
<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 /> 0 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 ag thereof.
<br /> President&C.E.O.
<br /> AFFIANT'S NAME/ AFFIANT'S TITLE
<br /> V
<br /> TAKEN,SWORN ANDSUBSCRIBED TO BEFORE ME this 16161day of 06.L. ,2011
<br /> Personally Known X or Produced Identification ;
<br /> Type of identification
<br /> (Affix seal here)
<br /> NOT PUBLIC(na e printed or typed)
<br /> , � '74 Sean C. Rippes
<br /> =a As •`�" COMMISSION # FF178293
<br /> iiic`'AFj�i1�"-�= EXPIRES:November 20,2018
<br /> 7.�'4 ,���`� WWW.AARONNOTARY.COM
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