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JAN -13 -03 '0:50AM FROM -CITY CF SUNNY iLES BEACH <br />State of Florida <br />County of Palm Bead} <br />+3059493113 7-296 P.11 /16 F -246 <br />NON-COLLUSIVE AFF'ID? LVJ ' <br />Robert L. Greene being first duly sworn, deposes <br />and says that: <br />(1) Heishe is the (Owner, Partner, Officer, representative or Agent) of the Bidder that has <br />submitted the attached Bid, <br />(2) He /she is fully informed respecting the preparation and contents of the attached Bid and <br />of all pertinent circumstances respecting such Bid; <br />(3) Such Bid is genuine and is not a collusive or sharp Bid; <br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, <br />employees or parties in interest, including this Affiant, have in arty way colluded, conspired, <br />connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a <br />collusive or shani Bid in connection with the Work for which the attached Bid has been <br />submitted; or to refrain from bidding in connection with such 'Work; or have in any mariner, <br />directly of indirectly, sought by agreement or collusion, or communication, or conference with <br />any Bid&r, firm, or person to fix the price or prices in the attached Bid or of any other Bidder, or <br />to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, <br />or to secure through any collusion, conspiracy, connivance, or urilawfttl agreement any <br />a.vantage against the City of Sunny Isles Beach, or any person interested in the proposed Work; <br />(5) The ce r prices quoted in the artached Bid are fair and proper and are nut tainted by <br />azty callus conspi y, connivance, or unlawful agreement on the part of the Bidder or any <br />oilier c) ° agents presentat e , owners, employees or parties in interest, including this <br />Affian . /A <br />/ v ///G(�/U Robert L. Greene <br />SIGNATURE OF MART (Printed or Typed Legal Name of Affiaxtt) <br />State of Florida CoLmty of Palm Beach <br />Sworn to and subscribed before me this 23 day of January_ , 2003 <br />by Robert L. Greene <br />_ Mischelle_ M. Schrader Seal: <br />Notary's Name Printed, Stamped or Typed <br />r.N "��•. Mischefle M SChX&i <br />„+ MY CpMMISSION # D01112 EXPIRES <br />Personally Known-, „ x or Produced Identification y= _ .txuawr 24 2006 <br />M �►1 DONDEUTHRU1R0�FAM*M INC <br />Identification Froducedo\- <br />Paige 10 of 10 <br />Golden :strand P4ng Lat ! anee Bid <br />