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<br /> SUNNY'Ste
<br /> COQt
<br /> :00,,
<br /> 4 ., NON - COLLUSION AFFIDAVIT
<br /> V ,, Z
<br /> City ofunnyIslesBeach
<br /> 9PO'
<br /> ' 1870 Collins Avenue
<br /> ''R C'9'•FL - '+w' Sunny Isles Beach,FL 33160
<br /> '�'of su$ '' Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OFFALM &4 () )
<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 /> ALc- ERRS ENTE2Oizises 2ivC .
<br /> (Name of Corporation,Partnership,Individual,etc.) tt
<br /> a, CoIQOR..AT2O J formed under the laws of Ftro ro4
<br /> � (Type off Business) (State)
<br /> `
<br /> of which he is J T. I yp�C:- 5IDEIJ T
<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 /> \, U1<< PSE s zpE aY
<br /> AFFIANT'S NAME . AFFIANT'S TITLE
<br /> •
<br /> TN
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 7 day of Arg-'1 C., ,2018.
<br /> Personally Known IV---or Produced Identification ,
<br /> Type of identification %,(2.4Zer) ta—A-A--
<br /> (Affix seal here) 1(T cc_4 y t 66
<br /> NOTARY PUBLIC(name printed or typed)
<br /> I
<br /> ";',„ NICHOLAS LEE
<br /> �p`pr ry
<br /> F.
<br /> =+ ,ono, * Commission#FF 982474
<br /> We��;al:,.: My Commission Expires
<br /> ''� eQI ,° '� April 14, 2020
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