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<br /> IF Of:
<br /> ® NON - COLLUSION AFFIDAVIT
<br /> n
<br /> ® , �. City of Sunny Isles Beach
<br /> _ p= �_. 18070 Collins Avenue
<br /> ® `_ti, ''�,rEo"° s" Sunny Isles Beach,FL 33160
<br /> '_'oi iux�'"y+ Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> ® COUNTY OF Palm Beach ) )
<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 /> ® Kimley-Horn and Associates, Inc.
<br /> ® (Name of Corporation, Partnership, Individual,etc.)
<br /> ® ap Engineering Company ,formed under the laws of North Carolina
<br /> ® (Type of Business) (State)
<br /> ® of which he is Senior Vice President/Principal Associate
<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 /> 4) Jerry Ingram,P.E. / /�/ t ' 7 • Senior Vice President/Principal Associate
<br /> ® AFFIANT'S NAME -�/ AFFIANT'S TITLE
<br /> ® 2012
<br /> ® TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 30th day of April ,%c.
<br /> ® Personally Known X or Produced Identification ,
<br /> 4) Type of identification
<br /> O
<br /> ® (Affix seal here) L / 5c4-/-A //
<br /> ® r 4:#1; TAMMY L SCARLOTT NOTARY PU C(name printed or typed)
<br /> MY COMMISSION#EE181709
<br /> ® EXPIRES January 19,2016
<br /> (ton)$en'53 P inalk ryavNn.mm
<br /> ® DECEMBER 28,2010 1 of 7
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