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4!I ..„.0.22_4y 1st <br /> BOE ,.'SJ <br /> ® <br /> n NON - COLLUSION AFFIDAVIT <br /> City of Sunny Isles Beach <br /> 0 •, '---, . "_ . 18070 Cdlirs Avenue <br /> P D9''il09�O*,�r Sunny hies Beach.FL 33160 <br /> ® t'''.:o, ,vim '�° Telephone:(305)947-0606 Fax:(305)949-3113 <br /> 0 <br /> ® STATE OF FLORIDA ) <br /> • (1 ^II <br /> COUNTY OF cJ(�t(J9' ) <br /> • <br /> ® The undersigned being first duly sworn as provided by law.deposes,and says: <br /> 0 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 /> 0 <br /> msof�I <br /> Co� u o�Tr(' <br /> akin.Partnership,IndS <br /> ividuapl,Oetct - wn 4reCvveIN7c - <br /> 0 a. formedWin under the laws of 1—L <br /> (Type of ess) (State) <br /> ® of which he is Pre5J_CV.0+ • <br /> (Sole Owner,Partner.President. etc.) <br /> o <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 /> • <br /> 0 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 /> 5 or conference with any person,firm or corporation, to fa the prices of said Bid or Bids of any other proposers: and an 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 /> iik 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 /> Mir to any member or agent thereof. <br /> 0 <br /> 0 Meftielle Motu 5 �e,.5 f./21-- <br /> ® AFFIANTS NAME AFFIANTS TITLE <br /> ® TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 0 day of 09_C 12-4/1 b-v ,201'}; <br /> ® Personally Known I /err Produced Identification .• <br /> ® Type of identification FC. OL itI,Lia-6 35 .- 0O —(3 <br /> ® (Affix seal hero) :J. r <br /> 1.1.tAct4ka <br /> NOTARY PUBLIC(name printed or typed) <br /> ® aoRy; Samantha Jenkins <br /> 0 <br /> . , NOTARY PUBLIC <br /> ZSTATE OF FLORIDA <br /> `_i ,?Comm#GG1451 7 <br /> ® ��e e Expires 9/21/2021 <br /> ® p F P <br /> 1of7 IOC. NM <br /> ?Ve_, --\-.v.se 't(*0 lc kA)- ciock- ,. .,0(,,,' `h 4 cecove- <br />