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<br /> ® SJHNT•t[E .
<br /> ® rO NON - COLLUSION AFFIDAVIT
<br /> ® I=
<br /> City of Sunny Isles Beach
<br /> ® 18070 Collins Avenue
<br /> '. �,�. •EO�o'+` Sunny Isles Beach,FL 33160
<br /> ® o. sue 0'9 Telephone:(305)947-0606 Fax:(305)949-3113
<br /> • STATE OF FLORIDA )
<br /> 0 COUNTY OF Palm Beach) )
<br /> ® The undersigned being first duly sworn as provided by law,deposes,and says:
<br /> O 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 /> ® Stockton Maintenance Group
<br /> ® (Name of Corporation,Partnership,Individual,etc.)
<br /> O a. Corporation ,formed under the laws of Florida
<br /> ® (Type of Business) (State)
<br /> ® of which he is Sole Owner / President
<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, firm 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 a•-• :ereof.
<br /> O z•tig Riordan Sole Owner / President
<br /> ® AFFIANT'S NAME AFFIANT'S TITLE
<br /> ® TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this .1 day of ,7tiLA—C ,20(I4
<br /> ® Personally Known xx or Produced Identification
<br /> ® Type of identification
<br /> ® (Affix seal here) Q,v.V,yxn-:yvr.-vr�wf v+ �11 te
<br /> ® ; • ELAINE MOSCFL.,II ((�� %L �)
<br /> 2 MY COMMISSION 4 EE1 1116 / NOTARY PUBLIC(name printed or typed)
<br /> i lac::Oma- Fl Natty D,,o,t An CC.
<br /> ..°_ti.%N "V V1r YG.
<br /> ®
<br /> 0 DECEMBER 28,2010 1 of 10
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