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<br /> �Fsn� .�r�
<br /> - _ NON- COLLUSION AFFIDAVIT
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<br /> .;_., -4,----------_ • City of Sunny Isles Beach •
<br /> ,' '''-- o� 18070 Collins Avenue -
<br /> •
<br /> ti• ,'•Ft.o00u+` Sunny Isles Beach,FL 33160
<br /> o.,uN' Telephone:(305)947-0606 Fax(305)949-3113
<br /> STATE OF F6ORt9A )
<br /> ICOUNTY OF f 1ne 1 fA� ) )
<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 RFP.
<br /> The undersigned is authorized to make this Affidavit on behalf of,
<br /> li Tidal Basin Government Consulting,LLC . •
<br /> (Name of Corporation,Partnership,Individual,etc.)
<br /> I •
<br /> •
<br /> a, Corporation • Washington,DC
<br /> formed under the laws of
<br /> (Type of Business) • • (State) •
<br /> Il of which.he is
<br /> Vice President • .
<br /> (Sole Owner,Partner,President,etc.)
<br /> I 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 RFP by the City, also that no head of any department
<br /> or employee therein,or any officer of the City of Sunny Isles Beach,Florida is directly interested therein.
<br /> This RFP is genuine and not collusive or a sham; the person, firm or corporation named above has not colluded, conspired, connived or
<br /> I agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham RFP, 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 persoh, firm or corporation, to for the prices of said Bid or Bids of any other proposers; and all statements
<br /> contained in the RFP or RFP's described above true; and further, neither the undersigned, nor the person, firm or corporation named •
<br /> above has directly or indirectly submitted said RFP or the contents thereof, or divulged information or data relativethereto, to any
<br /> INassociation or toanymemberor agent thereof-
<br /> a dL-- Vice PresidentE
<br /> AFFIANTS NAME AFFIANTS TITLE
<br /> •
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 1) day of Itial_______,2018.
<br /> Personally Known X or Produced Identification ,
<br /> Type of identification ID •
<br /> 11 (Affix seal here)
<br /> LO12.1))/W% L. c er .
<br /> •( 'D • //2( ARY PUBLIC(name printed or type
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<br /> BRIANNA L. MOYER
<br /> Notary PI)p11o,In the State of New York. 7 -6?Qualified in th eide County 01M062g4485
<br /> My CommisSlon Expires Dec.23,207 1 • . . • - .
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