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Titan Protective Services Proposal to Provide Pier Park Attendant RFP No. 18-03-01 <br /> SJrpHY+SE <br /> J ' <br /> n <br /> NON- COLLUSION AFFIDAVIT <br /> City of Sunny Isles Beach <br /> r 18070 Collins Avenue <br /> °'•r L o �o+` Sunny Isles Beach,FL 33160 <br /> ''or sw• Telephone:(305)947-0606 Fax(305)949-3113 <br /> STATE OF FLORIDA( � <br /> COUNTY OF <br /> lJa -e ) <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 authorizedizto make this Affidavit on behalf of, <br /> I I�in Pro+cLi-iv X'.nil.6e-S c <br /> (Name of <br /> Corporation,Partnership,arIndividual,etc.) 60/iCiat <br /> a, -LWfy £OY f 1 y ,formed under the laws of <br /> PIS)C1&l '(Typeof Business) (State) <br /> • <br /> ofwhichheis l <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 /> 14'60m A\4 itAbi•�; RsJeici <br /> AFFIANT'S NAME AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this <br /> J day of ,201 f5 <br /> Personally Known or Produced Identification ; <br /> Type of identification A 2 S 1 51 di f U 4 3-03 i-0 V" <br /> (Affix seal here) <br /> /LA <br /> Clettir,res <br /> NOTARY PUBL-IC.(name-printed or.typed)1 <br /> RODLIN CHARLES <br /> • MY COMMISSION#GG 155088 <br /> _'•,r�� EXPIRES:yOctober 26,_,2002.11 <br /> • <br /> :• P• Scaled TIM!NO Pubic.Underwriters <br /> lfOi it�•' <br /> 1 of Page 165 <br />