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<br /> 4 -.� NON - COLLUSION AFFIDAVIT
<br /> City of Sunny Isles Beach
<br /> ' 18070 Collins Avenue
<br /> if. ''' .F10.°) .,t Sunny Isles Beach,FL 33160
<br /> C'''OF tus ''49
<br /> 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 /> (Name of Corporation,Partnership, I ividual,etc.)
<br /> a, S ,formed under the laws of F—11A,`C.et
<br /> (Type
<br /> ooc�B sinneoess),� .- (State)
<br /> of which he is s t> l�`4-
<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 /> •
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<br /> AFFIANT'S NAME AFFIANT'S TITLE
<br /> TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this day of ,2018.
<br /> Personally Known �/ or Produced Identification ,•
<br /> Type of identification n p
<br /> (Affix seal here) ‘11, w
<br /> 4\IV\Q t•j
<br /> N•TA-Y PUBL C(name printed or typed)"ll
<br /> "> HASHATH MORALES
<br /> w>a MY COMMISSION a F rv,/061
<br /> �I EXPIRES:March 30,2020
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