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(15-06-01) Electrician Services Citywide
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Last modified
9/11/2015 10:27:51 AM
Creation date
7/15/2015 2:56:51 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Electrician Services Citywide
Bid No. (xx-xx-xx)
15-06-01
Project Type (Bid, RFP, RFQ)
Bid
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I, NON- COLLUSION AFFIDAVIT <br />l'. City of Sunny Isles Beach <br />56/ ,. 18070 Collins Avenue <br />Sunny Islas Beach, Ft. 33160 <br />Telephone: (305) 947 -0606 Fax: (305) 9493113 <br />STATE OF FLORIDA <br />COUNTY OF DADE 1 <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 />SAY IARrmi,- ENTEPPi21SESIZNC <br />(Name of Corporation, Partnership, Individual, etc.) <br />a, E LECTR I C A l CZ NTT-ACT0 formed under the laws of '�:LOR 1 DA <br />(Type of Business) (State) <br />of which he is S 1 D'2. wr <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 described above true: and further; neither the undersigned, nor the person, fine or corporation named above in Paragraph <br />10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or <br />to any member or agent thereof. <br />I Ply l�R'RO��. ESi 7t:1JT <br />AFFIANT'S NAME AFFIANT'S TITLE <br />Zt7t <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this &'day of U \T_. 286L— <br />Personally Known �� or Produced Identification , <br />Type of identification <br />(Affix seal here) <br />Ndery Public State of Florida <br />Frank 01 <br />My Comminion EE 831938 <br />�ppCol; Expim09/03/2016 <br />TY" C\[�'V. V � , <br />NOTARY PUBLIC (name printed or typed) <br />DECEMBER 28,2010 1 of 10 <br />
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