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<br /> UNNY rS1
<br /> y � .-ate FI
<br /> NON - COLLUSION AFFIDAVIT
<br /> ':: City of Sunny Isles Beach
<br /> �� -- �• 18070 Collins Avenue
<br /> '':-FT-Os‘
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<br /> sy Sunny Isles Beach,FL 33160
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<br /> Telephone:,(305)947-0606 Fac(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OFR DLO&4 )
<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 /> . i. Y0_. T. ' " aA I (PY . rVitt; Or`
<br /> (Name .1 Corporati.n,Partnership,Individual,etc.)
<br /> a, COY Oru'I+ TOn ,formed under the laws of 10 r, a a'
<br /> Type of Business) (State)
<br /> of which he is RYtesld.p.0-
<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 /> Th____C-A)Ivccupl
<br /> AFFIAAf'S E AFFIANT'S TITLE /
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this y / day of l�(Lr1 ,20Cijo
<br /> Personally Known or Produced Identification ; 1
<br /> Type of identification Ylointta, d YCO,IS t i(PnSee
<br /> (Affix seal here) tCX 4L/\/
<br /> //////�� 7 a �'
<br /> NOTARY PUBLI '�'-
<br /> ame printed or typed)
<br /> o••"y"':a, PAMELAL.JAMES )
<br /> f j e c. Notary public.-State of Florida 0
<br /> My Comm.E;pins Aug 11,2017 )
<br /> 1 ,���� P:' Commission rF FF 013809
<br /> Br TNoughNniparipwel
<br /> atNUayAssd. l
<br /> DECEMBER 29,2010 1 of 10
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