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Docusign Envelope ID: AB158799-C7BC-4838-B581-OC84CDE5OB97 <br />City of Pembroke Pines <br />BIDDER is the <br />NON -COLLUSIVE AFFIDAVIT <br />(Owner, Partner, Officer, Representative or Agent) <br />BIDDER is fully informed respecting the preparation and contents of the attached Bid and of all <br />pertinent circumstances respecting such Bid; <br />Such Bid is genuine and is not a collusive or sham Bid; <br />Neither the said BIDDER nor any of its officers, partners, owners, agents, representative, <br />employees or parties in interest, including this affidavit, have in any way colluded, conspired, <br />connived or agreed, directly or indirectly, with any other BIDDER, firm or person to submit <br />a collusive or sham Bid in connection with the Contract for which the attached Bid has been <br />submitted; or to refrain from bidding in connection with such Contract; or have in any <br />manner, directly or indirectly, sought by agreement or collusion, or communications, or <br />conference with any BIDDER, firm, or person to fix the price or prices in the attached Bid or <br />any other BIDDER, or to fix any overhead, profit, or cost element of the Bid Price or the Bid <br />Price of any other BIDDER, or to secure through any collusion conspiracy, connivance, or <br />unlawful agreement any advantage against (Recipient), or any person interested in the <br />proposed Contract; <br />The price of items quoted in the attached Bid are fair and proper and are not tainted by collusion, <br />conspiracy, connivance, or unlawful agreement on the part of the BIDDER or any other of its <br />agents, representatives, owners, employees or parties in interest, including this affidavit. <br />Printed Name/Signature <br />Title <br />Name of Company <br />