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<br /> 3. SuO J ;J°`
<br /> t , -L.11,,,
<br /> n NON - COLLUSION AFFIDAVIT
<br /> 0 u•1'c.)--,,,, 1• City of Sunny Isles Beach
<br /> 99 oP• 18070 Collins Avenue
<br /> s� '•r L O.' .. Sunny Isles Beach,FL 33160
<br /> c''r 0. iur+'•'c Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OFr��/WI4°/43e) )
<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
<br /> �oin behalf of,
<br /> i(p.(Nameoef Corporation,Or!/ Partnership,„.1.41d.
<br /> • I�J !aQi-etqA��4e1/�i�w/
<br /> c.)
<br /> / _/
<br /> a,vievpEj r�i tr�! rmsd under the laws of /r'(0 qui
<br /> (Type 8f usiness) (State)
<br /> of which he is QA-g5 I) 6,....)7 .
<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.
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<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 • • 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 Bid de cribed above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
<br /> 10.2,has dire•ly o indirectly submitted said Bid or the contents thereof,or divulged information or data relative thereto,to any association or
<br /> to any b� or a lent thereof.
<br /> _,r All G,912e r 50..a ..u6Gt, Pte..@ -r
<br /> AF -,NT'' E AFFIANT' TITLE I
<br /> T• N,S %RN AND SUBSCRIBED TO BEFORE ME this (l day of .�&c, ./8,6k_ ,2017
<br /> Personally Known It,- or Produced Identification ,•
<br /> Type of identification
<br /> (Affix seal here) ,*Olt,l'b�� tvette Cordova %ua W(OO'
<br /> t' Commission GG158933 NOTARY PUBLIC(name printed or typed)
<br /> -i: Expires:November 8,2021
<br /> ,„c4,,„,, Bonded thru Aaron ..:.:,
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<br /> 1of10D fipvi, (7- I1 —0(
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