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0 <br />AO�SJNNY X80 <br />NON- COLLUSION AFFIDAVIT <br />V r 2 <br />City of Sunny Isles Beach <br />�" ^» 18070 Collins Avenue <br />"r � • F �oor 44f Sunny Isles Beach, FL 33160 <br />C" or 'UN ' Telephone: (305) 947 -0606 Fax: (305) 949.3113 <br />STATE OF FLORIDA ) <br />COUNTY OF Palm Belch <br />The undersigned being first duly sworn as provided by law, deposes, and says: <br />This Affidavit is made with the knowledge and Intent that It is to be filed with the City of Sunny Isles Beach City Commission and that it will be <br />relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid. <br />The undersigned Is authorized to make this Affidavit on behalf of, <br />Southern waste Systems <br />(Name of Corporation, Partnership, Individual, etc.) <br />Florida <br />a LLC formed under the laws of <br />(Type of Business) (State) <br />ofwhichhels Member / Manager <br />(Sole Owner, Partner, President, etc.) <br />Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10.2, nor anyone else to the knowledge of the <br />undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any <br />department or employee therein, or any officer of the City of Sunny Isles Beach, Florida Is directly interested therein. <br />• This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired, <br />connived or agreed directly or Indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or <br />corporation, shall refrain from Bidding, and has not In any manner, directly or Indirectly, sought by agreement or collusion, or communication <br />or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained In <br />the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph <br />10.2, has directly or Indirectly submitted said Bid or the contents thereof, or divulged Information or data relative thereto, to any association or <br />to an�(n er agent t roof. �� <br />Charles Gusmano Member/ Manager <br />AFFIANT'S NAME AFFIANT'S TITLE <br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME thisAI'L. day of 20gA. <br />Personally Known t/' or Produced Identification <br />Type of Identification /L- •rs <br />(Affix seal here) <br />KATHLEEN A SASS <br />*e MY COMMISSION 1) DD 667213 <br />1� EXPIRES: June 22, 2011 <br />1 F, oa�O nodded TMu &Wget N*y Services <br />• DECEMBER 2e, 2010 <br />.>������J <br />NOTARY PPUUBLLIICt (name printed or typed) <br />1 of 7 <br />