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SUNNY iS4F <br /> of '`',re <br /> 7 NON - COLLUSION AFFIDAVIT <br /> City of Sunny Isles Beach <br /> r_ <br /> 1.- 18070 Collins Avenue <br /> ''';'' •F L 0 'O ,� Sunny Isles Beach,FL 33160 <br /> c'''pp SUN'''oTelephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA FL ) <br /> COUNTY OF MIAMl 1)04) <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 /> il&t61{1V(E4.) LFtVDSCRPC Stimilces, INC. <br /> (Nam/(e of Corporation,Partnership,Individual,etc.) <br /> a, l���D�4�d" ,formed under the laws of MAN l()•q <br /> (Type of Business) (State) <br /> of which he is JR • U P . <br /> (Sole Owner,Partner,President,etc.) <br /> Neither the undersigned nor any person, firm, or corporation named above nor anyone else to the knowledge of the undersigned, have <br /> themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or <br /> 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 has not colluded,conspired,connived or agreed <br /> directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall <br /> refrain from Bidding,and has not in any manner,directly or indirectly,sought by agreement or collusion,or communication or conference with <br /> any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids <br /> described above true; and further; neither the undersigned, nor the person, firm or corporation named above has directly or indirectly <br /> submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent <br /> thereof. <br /> Cfi4'LLEs 50N2kC- L- 32. VP <br /> AFFIANTS NAME AFFIANTS TITLE <br /> ��JJ <br /> rd g <br /> I t L-TAKEN,SWORN ANDS SCRIBED TO BEFORE ME this day of P 20 <br /> Personally Known or Produced Identification ,• • <br /> Type of identification <br /> (Affix seal here) 17. 110*C/`Tl - , <br /> • <br /> 'T-RY PUBLIC(rlame pt. or typed) <br /> I <br /> ��' WCSA I 313 <br /> A AENEZ <br /> g.: t ,.: <br /> MY <br /> �' EXPIRES:August 26,2019 <br /> it ia,+ Bonded Thru Notary Pubtc Underwriters <br /> 1 of 10 <br />