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V �wO <br />n <br />NuN-CuLLuSIuN AFFIDAVIT <br />City of Sunny isles 6eacll <br />18070 Coll: R znv. <br />;,''• <br />Son,.y teles ceatitl PI• Z;5,50 <br />A <br />�'-+., ; r •� Telephone: 1305) 947.0606 Fax 13051949-3113 <br />STATE OF FLORIDA <br />COUNTY OF <br />Me un'uersigne'u Being first uuly sworn as provided by law, deposes. an'u says <br />This Affidavit is made with the knowledge ana Intent that It Is to fie nlea with the City or sunny Isles Beach City Commission aria ln..t it II be <br />relied upon by said County, in any consideration which may gE-e to ana any action it may taRe =111 m -peat to thin BIM. <br />The andomignmd iz methwk-d to ria-ko thiz Amtla it am Don -It at, <br />(flame of Corporation, P..rtncrship, IndivifAial, elc.] <br />j. i <br />formua un"aer lne laws of k {- i <br />!Type of Tsusiness (state) <br />Of wnich he is; <br />(Style umer, P-rtne., Prazidumt, ate.) <br />Neither trio amd.reiyne8 nor any person, firm, or corporation si.rriod above nnr any..no oIuu t., tho knowleago of the undersigned, ha.a <br />thema.l-oa ,oli.;led o.- employed anyone alae to aolio;t fa.ors5lo action for lhia Bid by the C;;y, also that no head of any department or <br />a ... ployoo thw. in, or any officer of tha City of Sunny Isles Beach, Florida Is directly interested therein. <br />This Bid is genuine and not collusive or a snam; we person, Mrm or corporation named above has not colluae'u, conspires, connived or agreed <br />'ulrecuy or Inuirectly with any proposers or person, drm or corporation, to put In a sham 8100, or tMal suai person, firm or corporation, shall <br />res"lin from Biddiny, and has not In any manner, 'Directly or Indirectly. soughk by agreement or collusion, or communication or conference with <br />any person, firm or corporation, to fix the prices oT said Ski or sins of any other proposers, and all statements contalned In the Bis or Bcas <br />described above true, ana fuller; neimer the unsersigned, nor the person, firm or corporation names ase-- ran d: _clly or iridireetly <br />submitted said Bid or the contents thereof, or ai:elges imierriialiom or Moto rel -ti --o InerelM to any anneei-tiam or to -ny 'wmsop or ..g=rit <br />tne.eoi. <br />AFFIART S RAME AFFIANT'S TITLE V tC'cs <br />i AKr_N SWuRN AND 5UB9CRIBED TC 8ErZ-jRE I41C this f Y L day of . 2O_L& <br />Personally Known, _ or Produced Identification _ <br />I ype of IaeFltiTlcallem <br />(Atfl;z 3s..! H.Tu) <br />uuN,, itipri �t�A Hvr�AN <br />�% >yorary Put 11w aT :Iarla: <br />_ [ielnmi><si� 1► rr 98)3[!4 <br />y tea. 2 RIY Comae. ERNIreo Apr T4. <br />�,;:���'��, g0eQe011neu4t►1'Iir1p1� Fbl>KY NM <br />NOTARY <br />�� 1= <br />NOTARY P C (name pdWbjAr typed! <br />-1 or A <br />Lukv7DW LuluQaiAplflgi, InC. <br />