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I SUNNY rs4F j. r-• - ,), ; , u NON - COLLUSION AFFIDAVIT z 44.'• : City of Sunny Isles Beach t.; t.-----' �• 18070 Collins Avenue �F�D''•r oP`°o+`' Sunny Isles Beach,FL 33160 ''or sus '� Telephone:(305)947-0606 Fax:(305)949-3113 STATE OF FLORIDA ) COUNTY OF Jefferson Parish) ) The undersigned being first duly sworn as provided by law,deposes,and says: 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 relied upon by said County,in any consideration which may give to and any action it may take with respect to this RFP. The undersigned is authorized to make this Affidavit on behalf of, DRC Emergency Services, LLC (Name of Corporation,Partnership,Individual,etc.) a, Limited Liability Company formed under the laws of Alabama (Type of Business) (State) I of which he is Vice President/SecretaryfTreasurer (Sole Owner, Partner,President,etc.) Neither the undersigned nor any person, firm, or corporation named above nor anyone else to the knowledge of the undersigned, have I themselves solicited or employed anyone else to solicit favorable action for this RFP by the City, also that no head of any department or employee therein,or any officer of the City of Sunny Isles Beach,Florida is directly interested therein. This RFP is genuine and not collusive or a sham; the person, firm or corporation named above has not colluded, conspired, connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham RFP, or that such person, firm or corporation, shall refrain from Bidding,and has not in any manner,directly or indirectly, sought by agreement or collusion,or communication 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 the RFP or RFP's described above true; and further; neither the undersigned, nor the person, firm or corporation named above has directly or indirectly submitted said RFP or the contents thereof, or divulg-: information ori elative thereto, to any I association or to any member or agent thereof. / I Kristy Fuentes Vice President/Secr-ta reasur IAFFIANT'S NAME AFFIANT'S TITLE 1 TAKEN,SWORN AND SUBSCRIBED TO BEFORE ME this v day of ,2018. Personally Kno n or Produced Identification C Type of identification I (Affix seal here) 1(1 IGARY A. DES ROCHES • 7"'Y PUBLIC(name printed or typed) NOTARY PUBLIC State of Louisiana, Bar No. 19550 IMy Commission is for life - 1of10 I 115