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(07-03-01) General Engineering Services
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Gannet Fleming
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Last modified
1/27/2011 11:23:03 AM
Creation date
1/27/2011 11:07:32 AM
Metadata
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Template:
CityClerk-Bids_RFP_RFQ
Project Name
Engineering Svcs.
Bid No. (xx-xx-xx)
07-03-01
Project Type (Bid, RFP, RFQ)
RFQ
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<br />Non Collusive Affidavit <br /> <br />State of <br /> <br />Pennsylvania <br /> <br />County of Philadelphia <br /> <br />Thomas Piotrowski being first duly sworn, deposes <br /> <br />and says that: <br /> <br />(1) He/she is the (Owner, Partner, Officer, Representative or Agent) of the Bidder that has submitted the <br />attached Bid; <br /> <br />(2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent <br />circumstances respecting such Bid; <br /> <br />(3) Such Bid is genuine and is not a collusive or sham Bid; <br /> <br />(4) Neither the said bidder nor any of its officers, partners, owners, agents, representatives, employees or <br />parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or <br />indirectly, with any other Bidder, firm, or person to submit a collusive or sham Bid in connection with the <br />Work for which the attached Bid has been submitted; or to refrain from bidding in connection with such <br />Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or <br />conference with any Bidder, firm, or person to fix the price or prices in the attached Bid or of any other <br />Bidder, or to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, or <br />to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against the <br />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 any collusion, <br />conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents, <br />represent' ow rs, e~loy~es or parties in interest, including this Affiant. <br /> <br />, 0-..... Thomas Piotrowski <br />SI TURE OF AFFIANT (Printed or Typed Legal Name of Affiant) <br /> <br /> <br />State of Pennsylvania County of Philadelphia <br />is 24'. day of April, 2007 by <br /> <br /> <br />s~o and subsc . <br /> <br /> <br />Eugene Dela y <br />Notary' am rinted, Stamped or T <br /> <br />Personally Known Igj or Produced Identification <br /> <br />COMMONWEALTH OF PENNSYLVANIA <br />NOT ARIA' SEAL <br />EUGENE J. 0[.1 t, :--JEY , Notary Public <br />City of Philadell',"la Phila. County <br />My Commission EXplf':;~ January 12, 2009 <br />uce <br /> <br />Notary Seal: <br /> <br />o Identification Pro <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />H2L2 ARCHITECTURE' PLANNING. INTERIOR DESIGN .,NFRASTRUCTURE <br /> <br />H2L2LC I <br />
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