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Trench Safety Act (Chapter 553.60-553.64, Florida Statutes). The bidder further <br /> identifies the costs to be summarized below*: <br /> Trench Safety Units of Unit Extended <br /> Measure Measure Quantity U it Cost C t <br /> A. T6drk_60)( L-P- 3,mO 3 .ea 9 000 •ov <br /> B. <br /> C. <br /> D. <br /> TOTAL: g 060.06 <br /> Method of Compliance (Specify) Ti UPI 4�r <br /> Date: K / 4 4 3 1 4 0/W <br /> Thje / <br /> NAME OF AFFIANT <br /> SWORN to an. subscribed before me this <br /> 101 day of -- WLb-e , <br /> .1- <br /> NOTARY ' u ; C, State of Florida at Large <br /> ELINA REYES <br /> (Notary Seal) ,, MY COMMISSION FO5 581 <br /> a1 EXPIRES:Ngvomb/t 24,2017 <br /> ''►�r ' B0414 Ttru Nzsry Bolas <br /> My Commission expires: <br /> *Bidders: Add extra sheet(s), if needed. <br /> If Bidder fails to complete and execute this sworn statement/affidavit, his Bid may be <br /> declared non-responsive and rejected by CITY OF SUNNY ISLES BEACH. <br /> END OF SECTION <br /> City of Sunny Isles Beach 00458-2 Bidder's Affidavit in Compliance <br /> NE 174th Street Roadway Improvements With Florida Trench Safety Act <br /> 14-1758/09-19-2014 <br />