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<br />I <br /> <br />~ <br /> <br />~ <br /> <br />,I <br />I <br /> <br />.1 <br />I <br />~I <br />'I <br />\1 <br /> <br />II <br />II <br /> <br />I <br /> <br />I <br /> <br />II <br />~I <br />I <br />!I <br />'I <br /> <br />I <br /> <br />II <br /> <br />NON-COLLUSIVE AFFIDA VIT <br /> <br />State of Florida ) <br /> <br />County of <br /> <br />Broward <br /> <br />) <br /> <br />Tamara Peacock <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 attachcd Bid; <br /> <br />(2) He/she is fully informed respecting the preparation and contcnts 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 />(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 />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 price or prices in the attached Bid or of any other Bidder, or <br />to fix any overhead, profit, or cost clements of the Bid price or the Bid price of any other Bidder, <br />or to secure through any collusion, conspiracy, connivance, or unlawful ab'Teement any advantage <br />against the City of Sunny Isles Beach, Florida, or any person interested in the proposed Work; <br /> <br />(5) The pricc 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 />other of its agents, representatives, owners, employees or parties in interest, including this <br />Affimt. <br /> <br />V/ <br /> <br /> <br />TAMAfZ-P. ?€'A<'OC IL <br />(Printed or Typed Legal Name of Affiant) <br /> <br />State of FLolt \ OA County of '6 'Ro vl f\ 'i!-J) <br />Sworn to and subscribed before me this .;:)oTH day of <br /> <br />Av&.vs"I <br /> <br />, 2007 by <br /> <br />I A fV\ p,'j2.f\ <br /> <br />O"'~ "'"'Ij)'\ <br />NOTARY PUBUC.S'I:.a:rE t' H". ' <br />~ Robert A. Mmc1u&ol1 <br />~~Conuni;;si?n 1,< ~D55~434 <br />My Commission Explfcs:o::>/l1/ ~OlO <br /> <br />?~AcoCIL <br /> <br />1<.0'01:'12-\ A. yV\ 0Rct-( I so~ <br />Notary's Name Printed, Stamped or Typed <br /> <br />/' or Produced Identification <br /> <br />Notary Seal: <br /> <br />Personally Known: <br /> <br />Identification Produced <br /> <br />15 <br />