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0$MY rt[ <br /> 4%d FJ <br /> �� � NON - COLLUSION AFFIDAVIT <br /> V Z <br /> �� )' City of Sunny Isles Beach <br /> ,\ , -" 16070 Cdlins Avenue <br /> '`,\`• r�io�� Sunny Isles Beach,FL 33160 <br /> '•o, ,v Telephone:(305)947-0606 Fax(305)949-3113 <br /> STATE OF FLORIDA ) <br /> COUNTY OF ) <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 /> (Name of Corporation, Partnership,Individual,etc.) <br /> a, ,formed under the laws of <br /> (Type of Business) (State) <br /> of which he is . <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 /> AFFIANTS NAME AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this day of ,200_. <br /> Personally Known or Produced Identification , <br /> Type of identification <br /> (Affix seal here) <br /> NOTARY PUBLIC(name printed or typed) <br /> DECEMBER 262010 1 of 10 <br />