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NON -COLLUSION AFFIDAVIT
<br />V
<br />,. City of Sunny Isles Beach
<br />16070 Collins Avenue
<br />''� '' • E Loa�o ` Sunny Islas Beach, FL 33160
<br />o, 1,,1 " Telephone: (305) 947-0606 Fax: (305) 949-3113
<br />STATE OF FLORIDA
<br />COUNTY OF Palm Beach 1
<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 />Crain A. Smith IL Associates. Inc.
<br />(Name of Corporation, Partnership, Individual, etc.)
<br />a, Corporation , formed under the laws of Florida
<br />(Type of Business) (State)
<br />of which he is Senior Vice President
<br />(Sole Owner, Partner, President, etc.)
<br />Neither the undersigned nor any person, firth, 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.
<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 with 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 Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
<br />10.2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or
<br />to any rpe4tber or agent thereof.
<br />Smith,Stephen C. / P.E. Senior Vice President
<br />V IAN S. TAME AFFIANT'S TITLE
<br />TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this 10th day of December , 20K—
<br />Personally Known X or Produced Identification
<br />Type of identification
<br />(Affix seal here) f Y
<br />NOTARY PUBLI (name nted or typed)
<br />Amanda J. Denton
<br />Expires: 01/2612021
<br />X40 f Notary Public State Of Fbrida
<br />Amanda J Denton
<br />a MY Commis= GG 061838
<br />'�igpd� F�cpires 01/25!20'a
<br />DECEMBER28,2010
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