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<br />I <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of <br /> <br />~\oJ\~a ) <br />(\\\ <J..tU -"bOot <br /> <br />County of <br /> <br />Horacia A. Rodriguez <br />and says that: <br /> <br />being first duly sworn, deposes <br /> <br />(I) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has <br />submitted the attached Bid; <br /> <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 /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, <br />employees or pmties in interest, including this affiant, have in any way colluded, conspired, <br />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 />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 pdce 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 unlawfld agreement any <br />advantage against the City of Sunny Isles Beach, or any person interested in the proposed Work; <br /> <br />(5) 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 palt of the Bidder or any <br />other of its agents, representatives, owners, employees or parties in interest, including this <br /> <br />Affiant. ~ <br /> <br />SIO ~ TURE r (Printed or Typed Legal Name .of Affiant) <br />\\ . . '::00. clo <br />State of ~\.OJ\~Q County of ~ . <br />Sworn to and subscribed before me this ll.\ day of <br /> <br />Horacio A. Rodriguez <br /> <br />(h9-AJ <br /> <br />, 2007 by <br /> <br />I <br />I <br />I <br /> <br />ck:~ ~~ <br />Notary's Name Printed, Stamped or Typed <br />Personally Known: X. or Produced Identification _ Type: <br /> <br />Notary Seal: <br />\ <br /> <br /> <br />Nota Public State of Florida <br />Anna Leon <br />My Commission DD385331 <br />E~plres 0111112009 <br />~",",-""-A'."'''''''<OO.:.1~ <br /> <br />Page 9 of9 <br />RFQ 07-03-01 Engineering Srvs Bridge Revised (Addendum I).doc <br />