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State of ) <br />County of ) <br />and says that: <br />NON - COLLUSIVE AFFIDAVIT <br />being first duly sworn, deposes <br />(1) He /she is the (Owner, Partner, Officer, Representative or Agent) of the Respondee that <br />has submitted the attached Response; <br />(2) He /she is fully informed respecting the preparation and contents of the attached Response <br />and of all pertinent circumstances respecting such Response; <br />(3) Such Response is genuine and is not a collusive or sham Response; <br />(4) Neither the said respondee nor any of its officers, partners, owners, agents, <br />representatives, employees or parties in interest, including this affiant, have in any way colluded, <br />conspired, connived or agreed, directly or indirectly, with any other Respondee, firm, or person <br />to s ubmit a c ollusive o r s ham R esponse i n c onnection w ith t he W ork f or w hich t he attached <br />Response has been submitted; or to refrain from responding in connection with such Work; or <br />have in any manner, directly or indirectly, sought by agreement or collusion, or communication, <br />or conference with any Respondee, firm, or person to fix the price or prices in the attached <br />Response or of any other Respondee, or to fix any overhead, profit, or cost elements of the <br />Response price or the Response price of any other Respondee, or to secure through any <br />collusion, conspiracy, connivance, or unlawful agreement any advantage against the City of <br />Sunny Isles Beach, or any person interested in the proposed Work; <br />(5) The price or prices quoted in the attached Response are fair and proper and are not tainted <br />by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Respondee or <br />any other of its agents, representatives, owners, employees or parties in interest, including this <br />Affiant. <br />SIGNATURE OF AFFIANT <br />State of County of <br />Sworn to and subscribed before me this <br />Notary's Name Printed, Stamped or Typed <br />(Printed or Typed Legal Name of Affiant) <br />day of <br />Notary Seal: <br />Personally Known: or Produced Identification <br />Identification Produced <br />M <br />2002 by <br />