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<br />')
<br />
<br />
<br />NON-COLLUS10N AFF1DAVIT
<br />
<br />City of Sunny Isles Beach
<br />16070 Collins Avenue
<br />Sunny Isles Beach, FL 33160
<br />Telephone: (305) 947-0606 Fax: (305) 949.3113
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF Dade
<br />
<br />The undersigned being first duly sworn as provided by law, deposes, and says:
<br />
<br />This Affidavit is made wilh the knowledge and intent that iI is 10 be filed with the City of Sunny Isles Beach City Commission and thai It will be
<br />relied upon by said County, in any consideration which may give 10 and any action it may take wilh respecllo Ihis Bid.
<br />
<br />The undersigned is authorized to make this Affidavil on behalf of,
<br />
<br />Laura M. Perez and Associates, Inc.
<br />
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />
<br />a,
<br />
<br />Corporation
<br />(Type of Business)
<br />
<br />Florida
<br />, formed under the laws of
<br />
<br />(State)
<br />
<br />of which he is
<br />
<br />President
<br />
<br />(Sole Owner, Partner, President, etc.)
<br />
<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 aclion for this Bid by Ihe City, also that no head of any
<br />department or employee therein, or any officer of the Clly of Sunny Isles Beach, Florida is direcUy interested therein.
<br />
<br />)
<br />
<br />This Bid is genuine and nol collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired,
<br />connived or agreed dlrecUy or indirecUy 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, direcUy or indlrecUy, sought by agreement or collusion, or communication
<br />or conference with any person, firm or corporallon, 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 dlrectiy or indirectly submitted said Bid or the contents thereof, or divulged Informallon or data relative thereto, to any associallon or
<br />to any member or agenllhereof.
<br />
<br />
<br />~resident
<br />AFFIANT'S NAME U AFFIANT'S TITLE
<br />
<br />TAKEN, SWORN AND SysSCRI8ED TO BEFORE ME ~. ~ d.", f'{\ CO 'f
<br />Personally Known V or Produced Identification ;
<br />Type of Identification 0 L
<br />
<br />,20~2
<br />
<br />(Affix seal h
<br />
<br />
<br />..t1-VPvf,;,
<br />!."Jr:
<br />'!loc,", ;
<br />1'1- 0;1\0'"
<br />
<br />Notary Public State of Florida
<br />Remigio Garcia
<br />My Commission EE060509
<br />Expires 01/31/2015
<br />
<br />~G~
<br />
<br />NOTARY PUBLIC (name printed or typed)
<br />
<br />llfCEMIlER 2B, 2010
<br />
<br />10f7
<br />
<br />LAURA M. PEREZ AND ASSOCIATES, INC
<br />
<br />RFQ #12-04-02
<br />
<br />PAGE 76
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