Light Er Up Mia LLC - Laserfiche WebLink

Home Browse Search

�S'yNNY rr4 Fs LO 4� NON -COLLUSION AFFIDAVIT u — x _ City of Sunny Isles Beach 18070 Collins Avenue h�C Sunny Isles Beach, FL 33160 Telephone: (305) 947-0606 Fax (305) 949-3113 STATE OF FLORIDA 11 11�� COUNTY OF MOII l 111 ) The undersigned being first duly sworn as provided by law, deposes, and says: This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Comi relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. The undersigned is authorized to make this Affidavit on behalf of, (Name of Corporation, Partnership, individual, etc.) (Type of Business) formed under the laws of (State) of which he is 'I 0l+t]i1 G � (Sole Owner, Partner, President, etc.) Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10,2, nor anyone else undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein. This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or I corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or coil or conference with any person, firm or corporation, to fa the prices of said Bid or Bids of any other proposers; and all the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation nar 10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative there to any member or agent thereof. c� �. Cutr�LLIA� 4 66,0 AFFIANT'S NAME A FIANT'S TITLE TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this day of aY 201j- Personally _j t Personally Known _/ or Produced Identification yp :`::;�� MIGUEL E. ES Type of identification * TI= « Cmlmisslan # GG 190241 Expires Match 022 (Affix seal here) � ��f n c!`�c &ni$d ThN g�2 NOTARY PUBLIC (name printed or typed) DECEMBER 26, 2010 and that it will be the knowledge of the ;o that no head of any iot colluded, conspired, at such person, firm or Sion, or communication tatements contained in Id above in Paragraph ), to any association or