Laserfiche WebLink
FORMS + ATTACHMENTS© <br /> Professional Architecture Services for Government Center Lobby+Gateway Park <br /> 1 . SUNNY is,ed. <br /> . os .,_ .....- <br /> _�- am-.0 NON - COLLUSION AFFIDAVIT <br /> y ' Z <br /> `•-. _ City of Sunny Isles Beach <br /> c. `"' 18070 Collins Avenue <br /> 3.e '''F lOP` Sunny Isles Beach.FL 33160 <br /> c'''of sus�''° Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA ) <br /> COUNTY OF MIAMI 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 /> Song+Associates, Inc. <br /> (Name of Corporation.Partnership,Individual,etc.) <br /> a, Corporation under the laws of Florida <br /> (Type of Business) (State) <br /> of which he is Young Song, President <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 /> - •• u : ong, President <br /> AFI' ;`NAME AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this v day of .--tAi�l .2016 <br /> Personally Known <br /> I )Z... <br /> or Produced Identification ,• <br /> Type of identification <br /> Perry Douglass <br /> (Affix seal he.,.1:493,141%, f0"( � `ar k <br /> : ,■� ' Commission#FF987812 vV l�Jk <br /> :# ' �►= NOTARY PUBLIC(name printed or typed) <br /> �� ; Expires: May 1, 2020 <br /> ''% '.,�' :Inded thru Aaro' Notary <br /> IF, <br /> 1 yi <br /> I <br /> 1 of 7 . <br /> . SONG +ASSOCIATES 69 <br />