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SV„NT gZ1f <br /> n?. b NON - COLLUSION AFFIDAVIT <br /> Li - <br /> �` City of Sunny Isles Beach <br /> "'NZ.. ••.” <br /> 18070 Collins Avenue <br /> ''. s•rro� Sunny Isles Beach,FL 33160 <br /> o. sonTelephone:(305)947-0606 Fac(305)949-3113 <br /> STATE OF FLORIDA <br /> COUNTY OF MhA^t "OPcM <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 /> ALTA MA,Jfrsa b-ø' Ii t " —pA -',Y, r rc , <br /> (Name of <br /> Corporation,Partnership,Individual.etc.) <br /> a, CON5T<-JG"rip.�7 •LJ.�ormetl under the laws of Flom-op A . <br /> (Type of Business) (State) <br /> of which he is PrL$g i D 0 Nr et split py/,,,y2• <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 agent thereof. <br /> • <br /> 0A1 .--o ?rt-a•oo sa Fri-as srtv. C- <br /> AFFIANTS NAME AFFIANTS TITLE <br /> TAKEN.SWORN AND SUBSCRIBED TO BEFORE ME this '3 day of /1/7 4 ,2001-. <br /> Personally Known or Produced Identification <br /> Type of identification <br /> (Affix seal hem) /? "\ <br /> NOTAR C(name printed or typed) <br /> Cdr Notary Public State of Florida <br /> Cindy Capdevila <br /> My Commission DD877312 <br /> �+a a� Expires 06I79/2013 <br /> CECELrEA 2s.2010 1 of 7 <br />