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I • <br /> sv 4Nr isle <br /> NON - COLLUSION AFFIDAVIT <br /> rIN ::-1111111111111_:;_ <br /> • _ • <br /> • City of Sunny Isles Beach <br /> R '� 18070 Collins Avenue <br /> Yf •FLO Sunny Isles Beach,FL 33160 <br /> c•r�oc sus '�a Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA <br /> ) <br /> COUNTY OF FL <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 /> AC Schultes of Florida <br /> (Name of Corporation,Partnership, Individual,etc.) <br /> a Corporation ,formed under the laws of FL <br /> (Type of Business) (State) <br /> of which he is President <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 /> P• <br /> Najib B Halwani President <br /> AFFIANT'S NAME AFFIANTS TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 3 ) day of Apo( ,2018. <br /> Personally Known or Produced Identification • <br /> Type of identification <br /> • <br /> (Affix seal here) <br /> _AA1 <br /> OTARY •U:LI (name print:6.r typed) <br /> ie SELVANA E SINNING <br /> • MY COMMISSION#FF932888 <br /> '44: EXPIRES November 02,2019 <br /> 44O71398-01S3 flondaNanryServwecam <br /> 1 of 10 <br />