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<br /> .0 -"- fr NON- COLLUSION AFFIDAVIT
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<br /> ' ': cti : City of Sunny Isles Beach •
<br /> � ; ,,, off' ' 18070 Collins Avenue
<br /> ''.'' •F Low' ••`? Sunny Isles Beach,FL 33160
<br /> -",or s.,..''''o Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF Al
<br /> B1)c4c ' •
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<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 /> •
<br /> Ac._ (A)Eaas EN-rpaises 7 c .
<br /> (Name of Corporation,Partnership,Individual,etc.) tt
<br /> a, Co RPO -4T2n.J ',formed under the laws of Fc.ofJ04
<br /> \t1 /
<br /> (Type off Business) (State)
<br /> of which he is `.)TLC% L- 51D 0J l 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 /> UTC 6: Pit C.5 ZPEAPT
<br /> AFFIANT'S NAFFIANT'S TITLE
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<br /> 'fH
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 7 day of A Piz L ,2018.
<br /> Personally Known Vor Produced Identification ,•
<br /> Type of identification pric,462,) e0--A-A—
<br /> (Affix seal here) f\STi,s f CCA y (,6
<br /> NOTARY PUBLIC(name printed or typed)
<br /> NICHOLAS LEE
<br /> lif° _,`• Commission#FF 982474
<br /> ,,,';'I'.; My Commission Expires
<br /> '*%',orvs.O. April 14, 2020
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