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<br /> NON - COLLUSION AFFIDAVIT
<br /> ill . __ _ `r : City of Sunny Isles Beach
<br /> r ,DD t'''. o� 18070 Collins Avenue
<br /> sr '•v L o' 0%...,
<br /> %° Sunny Isles Beach,FL 33160
<br /> cr',"or sue'' Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF
<br /> Charlotte )
<br /> •
<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 /> Air Mechanical & Service Corp
<br /> (Name of Corporation,Partnership,Individual,etc.)
<br /> a, Corporation Florida
<br /> formed under the laws of
<br /> (Type of Business) (State) '
<br /> Service Sales
<br /> of which he is .
<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 /> III
<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 any member or agent thereof.
<br /> Blaine Byers .444-, S vice Sales
<br /> AFFIANT'S NAME AFFIANT'S TITLE
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this 21 S y of February �d0�. 2 p1 7
<br /> Personally Known X or Produced Identification ,•
<br /> Type of identification NA
<br /> (Affix seal here)
<br /> L -40:
<br /> _ NO'A-PUBLIC(name printed or typed)
<br /> ••''� �``O� arry Dalton
<br /> ; • e,:, LARRY DALTON
<br /> y: MY COMMISSION#FF115182
<br /> .';.?oFF. ' EXPIRES June 26,2018
<br /> (407)398-0153 Ftoridallotaryservice.com
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<br /> DECEMBER 28,2010 1 of 10
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