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45ur�lur rs�Fs. <br />v NON -COLLUSION AFFIDAVIT <br />n <br />u� M1 :tx <br />City of Sunny Isles Beach <br />u 18070 Collins Avenue <br />Sunny Isles Beach,FL 33160 <br />r" o" sUvk "' Telephone! (305) 947.0505 Fax: (305) 940.311,4 <br />STATE OF FLORIDA ) <br />COUNTY OF Orange ) <br />The undersigned being first duly swom 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 />Architects Design Group / ADG, Inc, <br />(Name of Corporation, Partnership, Individual, etc.) <br />a, S-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 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 or 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 />ir11A 1 Ian Reeves, Al A President <br />AFF— IDS NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 29" day of November 20 21 <br />Personally Known X or Produced Identification <br />Type of identification <br />(Affix seal here) �' oh <br />v"+ Notarl to of FWrWo <br />$ NIwIeMHnvla Nicole Hevia <br />, Fmyco mial M47 273M NOTARY PUBLIC (name printed or typed) <br />1 of 8 <br />