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<br /> NON - COLLUSION AFFIDAVIT
<br /> Iv _ 1
<br /> City of Sunny Isles Beach
<br /> �I. €It r 18070 Collins Avenue
<br /> 6r °'-s4.ca0o •b Sunny Isles Beach,FL 33160
<br /> r'''.1-0„,, 7-'''' Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
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<br /> COUNTY OF 1= ('i
<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 /> LUkms Los cascn_alt'zshc ,
<br /> (Name of Corporation,Partnership,Individ al,etc.) 11
<br /> a, a 11f 0 1(\ti ,formed under the laws of F.l C)T 10(1_,
<br /> (Type of Business) (State)
<br /> j�
<br /> of which he is T r S\ 6- ert
<br /> (Sole Owner,Partner,President,etc.) X/(/'
<br /> Neither the undersigned nor any person, firm, or corporation named above nor anyone else to the knowledge of the undersigned, have
<br /> themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any department or
<br /> 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 has not colluded,conspired,connived or agreed
<br /> directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or corporation, shall
<br /> refrain from Bidding,and has not in any manner,directly or indirectly,sought by agreement or collusion,or communication or conference with
<br /> any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in the Bid or Bids
<br /> described above true; and further; neither the undersigned, nor the person, firm or corporation named above has directly or indirectly
<br /> submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or to any member or agent
<br /> thereof.
<br /> M 1 ch a.-e_1 {-)(x.IL-cr- •-7-)1 r-esc c1-ecfi
<br /> AFFIANT'S NAME AFFIANT'S TITLE
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this \ D day of {•\ \ ,20 1 1i
<br /> Personally Known X or Produced Identification '
<br /> Type of identification
<br /> (Affix seal here) {�'�y��
<br /> AMY JEAN HOFFMAN
<br /> NOTAP ELIC nated or typed)
<br /> ,3 niZ,,,,�
<br /> •;o 'o, Notary Public-State of Florida
<br /> I. 0 Commission#FF 980214 '
<br /> 1 11 ..- J MyComm.Expires Apr 19.:;020
<br /> "f,###:.`iv• Bonded through National Notary Assn.
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<br /> Lukes' Landscaping, Inc.
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