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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECTNO.: 17-6882 <br />LOCAL STREET SLURRY SEAL 2016-17 <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />Doug Ford <br />, being duly sworn, deposes and says: <br />f-1 INDIVIDUAL <br />That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP <br />That lie/she is a member of the co-parmership firm designated as.: <br />and who has been and isduly vested with the authority to make and execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co-partnership. <br />CORPORATION <br />That he is of. <br />Pavement DoaOngs Co. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <br />That he is of: <br />one of the parties making the foregoing proposal as a joint venture, and the he/she has <br />been and is duly vested with the authority to execute instruments for an on behalf of the <br />parries making said bid who are: <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by <br />collusion to secure any advantage against the City of Santa Ana or any person interested in the <br />propos ontr ct, for himself or any other person. <br />Signature of Bidder <br />Subscribed and sworn to before me this day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />