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Last modified
6/18/2012 8:39:00 AM
Creation date
1/19/2011 4:01:13 PM
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CityClerk-Bids_RFP_RFQ
Project Name
Landsc. Architect. Svcs.
Bid No. (xx-xx-xx)
06-03-01
Project Type (Bid, RFP, RFQ)
Bid
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1 NON - COLLUSIVE AFFIDAVIT <br />State of Florida ) <br />' County of Broward ) <br />1 Michael D. Kroll being first duly sworn, deposes <br />and says that: <br />(l H she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has <br />e <br />1 submitted the attached Bid; <br />(2) , H�he is fully informed respecting the preparation and contents of the attached Bid and <br />df all pertinent circumstances respecting such Bid; <br />(31 Such Bid is genuine and is not a collusive or sham 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 any way colluded, conspired, <br />1 connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a <br />collusive or sham Bid in connection with the Work for which the attached Bid has been <br />1 submitted; or to refrain from bidding in connection with such Work; or have in any manner, <br />directly or indirectly, sought by agreement or collusion, or communication, or conference with <br />any Bidder, 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 unlawful agreement any <br />advantage against the City of Sunny Isles Beach, or any person interested in the proposed Work; <br />(S) The price or prices quoted in the attached Bid are fair and proper and are not tainted by <br />any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any <br />1 other of its agents, representatives, owners, employees or parties in interest, including this <br />Affiant. 0 1 Michael D. Kroll <br />SIGNATURE OF AF NT (Printed or Typed Legal Name of Affiant) <br />1 State of Florida County of Broward <br />Sworn to and subscribed before me this 30th day of March , 2pp 6 <br />by Michael D. Kroll <br />Notary Seal; <br />Notary's Tame Printed ,'St a or yped <br />i `1� <br />Personally Known; x or Produced Identification <br />OtrpY e JULiE Y. , °3AFD!F <br />1 ?' MY COMM lSS;Dtd #UD127D15 <br />Identification Produced EXPIRES: AJGUSi 13, Zoos <br />Bonded through Adva ietpe Notary. <br />1 Page 9 of 9 <br />116 -03 -01 Landscape Archireerurai Firm Bid <br />
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