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<br />I <br /> <br />I <br /> <br />Appendix H <br /> <br />I <br /> <br />NON-COLLUSIVE AFFIDAVIT <br /> <br />State of FLORIDA ) <br /> <br />I <br /> <br />C\lunty of MIAMI -DADE <br /> <br />I <br /> <br />PABLO LLERENA <br /> <br />being first duly sworn. deposes and says that: <br /> <br />I <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 />I <br /> <br />12) 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 />I <br /> <br />(.:1-) Neither the said bidder nor any of its officers. partners, owners. agents. representatives. employees or parties in <br />interest. including this affiant. have in any way colluded, conspired. connived or agreed. directly or indirectly, with any <br />other Bidder. firm, or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid <br />has been submitted; or to refrain from bidding in connection with such Work; or have in any manner. directly or <br />indirectly. sought by agreement or collusion. or communication. or conference with any Bidder. firm. or person to tix the <br />price or prices in the attached Bid or of any other Bidder. or to tix any overhead, profit. or cost elements of the Bid price <br />or the Bid price of any other Bidder, or to secure through any collusion. conspiracy, connivance. or unlawful agreement <br />any advantage against the City of Sunny lsles Beach. or any person interested in the proposed Work: <br /> <br />I <br /> <br />I <br /> <br />I <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, representatives. <br />owners, employees or parties in interest. including this Affiant. <br /> <br />~~~ <br /> <br />SIGNATURE OF AFFIANT <br /> <br />PAB LO LLERENA <br /> <br />I <br /> <br />(Printed or Typed Legal Name of Affiant) <br /> <br />I <br /> <br />State of FLORIDA County of MIAMI -DADE <br />Sworn to and subscribed before me this 3RD day of <br /> <br />MAY <br /> <br />, 2007 by <br /> <br />I <br /> <br />V\~\~ \,() ~K\~~YA- <br />Notar~Name Printed. Stamped or Typed <br /> <br />Notary Seal: <br /> <br /> <br />I <br /> <br />Personally Known: <br /> <br />v <br /> <br />or Produced ldentitication <br /> <br />I <br /> <br />Identification Produced <br /> <br />I <br /> <br />I <br /> <br />-1-/3/2007 <br /> <br />City of Sunny Isles Beach: Request for Proposal - Audit Services <br /> <br />I <br />