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Q soN y;ste.f <br /> NON - COLLUSION AFFIDAVIT <br /> • 47 • City of Sunny Isles Beach <br /> • t. ''=- �' 18070 Collins Avenue <br /> .5.4• •F EpP°p `," Sunny Isles Beach,FL 33160 <br /> 'or Sur, Telephone:(305)947-0606 Fax:(305)949-3113 <br /> STATE OF FLORIDA <br /> B rows rd <br /> COUNTY OF ) <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 /> Sagaris Corp <br /> (Name of Corporation,Partnership, Individual,etc.) <br /> a, Corporation formed under the laws of Florida <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 in above Paragraph 10.2, nor anyone else to the knowledge of the <br /> undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any <br /> department or 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 in Paragraph 10.2 has not colluded,conspired, <br /> connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, 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 person,firm or corporation,to fix the prices of said Bid or Bids of any other proposers;and all statements contained in <br /> the Bid or Bids descri.-• .::•- .-; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br /> 10.2,has d' or indirectly sub r' ed said Bid or the contents thereof,or divulged information or data relative thereto,to any association or <br /> to a ember or agent th- . . <br /> i <br /> Mehrdad Mahmoudi President <br /> AFFIANT'S NAME AFFIANT'S TITLE <br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 10 day of December 20- <br /> Personally Known X or Produced Identification • <br /> Type of identification <br /> (Affix seal here) Ls__ <br /> • . ARY PUBLIC(name printed or typed) <br /> • <br /> ,a••, HAMID FOULADI <br /> '-�' Notary Public-State of.Florida <br /> (' . wi Commission #FF 971248 <br /> ":• My Comm.Expires Mar 14,2020 <br /> DECEMBER 28,2010 <br />