Laserfiche WebLink
NON - COLLUSIVE AFFIDAVIT <br />State of ) <br />)ss <br />County of ) <br />and says that: <br />being first duly sworn, deposes <br />(1) He /she is the (Owner, Partner, Officer, Representative or Agent) of the respondent <br />that has submitted the attached Proposal; <br />(2) He /she is fully informed respecting the preparation and contents of the attached <br />Proposal and of all pertinent circumstances respecting such Proposal; <br />(3) Such Proposal is genuine and is not a collusive or sham Proposal; <br />(4) Neither the said respondent nor any of its officers, partners, owners, agents, <br />representatives, employees or parties in interest, including this affiant, have in any <br />way colluded, conspired, connived or agreed, directly or indirectly, with any other <br />Proposer, firm, or person to submit a collusive or sham Proposal in connection <br />with the Work for which the attached Proposal has been submitted; or to refrain <br />from proposing in connection with such Work; or have in any manner, directly or <br />indirectly, sought by agreement or collusion, or communication, or conference <br />with any Respondent, firm, or person to fix the price or prices in the attached <br />Proposal or of any other Respondent, or to fix any overhead, profit, or cost <br />elements of the Proposal price or the Proposal price of any other Respondent, or <br />to secure through any collusion, conspiracy, connivance, or unlawful agreement <br />any advantage against the City of Sunny Isles Beach, or any person interested in <br />the proposed Work; <br />(5) The price or prices quoted in the attached Proposal are fair and proper and are not <br />tainted by any collusion, conspiracy, connivance, or unlawful agreement on the <br />part of the Proposer or any other of its agents, representatives, owners, employees <br />or parties in interest, including this affiant. <br />Sworn to and subscribed before me this <br />who is personally <br />Notary Seal: <br />Commission Expires: <br />Commission No.: <br />_ day of , 2001, by <br />known to me or has provided <br />as identification. <br />Notary Signature <br />Page 11 of 11 <br />Architectural Services Design & Specifications 71171013:38 PM <br />