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SUNNY,„,
<br /> •..NON - COLLUSION AFFIDAVIT
<br /> II City of Sunny Isles Beach
<br /> ', '' 18070 Collins Avenue
<br /> iF 9'>• F oa�o ''''tSunny Isles Beach,FL 33160
<br /> '''r o. suo 'Nc Telephone:(305)947-0606 Fax:(305)949-3113
<br /> STATE OF FLORIDA )
<br /> COUNTY OF
<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 RFP.
<br /> The undersigned is authorized to make this Affidavit on behalf of,
<br /> 0 t co*s-- P'o Q1 r c�� " 'o 3, IG
<br /> (Name of Corporation,Partnership, I ividual,etc.) �tl
<br /> a, S ,formed under the laws of C.r\ ec
<br /> (Type
<br /> volBsinneesgs),� (State)
<br /> of which he is s�> \ --A+
<br /> (Sole Owner,Partner,President,etc.)
<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 RFP by the City, also that no head of any department
<br /> or employee therein,or any officer of the City of Sunny Isles Beach,Florida is directly interested therein.
<br /> This RFP is genuine and not collusive or a sham; the person, firm or corporation named above has not colluded, conspired, connived or
<br /> agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham RFP, 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
<br /> contained in the RFP or RFP's described above true; and further; neither the undersigned, nor the person, firm or corporation named
<br /> above has directly or indirectly submitted said RFP or the contents thereof, or divulged information or data relative thereto, to any
<br /> association or to any member or agent thereof.
<br /> Ga.Iori'e.ILe 6,4\4, p.,..5-t --f _.
<br /> AFFIANT'S NAME AFFIANT'S TITLE
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this day of ,2018.
<br /> Personally Known 'F" or Produced Identification ,•
<br /> Type of identification ` n
<br /> (Affix seal here) ‘ 4` n
<br /> 00.Akti7
<br /> N*TA-Y PUBL name printed or typed) `\
<br /> e" ' HASHATH MORALES
<br /> r4, MY COMMISSION#FF977061
<br /> EXPIRES:March 30,2020
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