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City of Santa Ana <br />CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />•,^rnrv_,,......r.M• �..,..•.rrnt:CrYN]C11CLM.i'X4CR(M4Y1CG�:tXGCnl:Ratty`fYtSaLYa6Cf:M.C�CCf:6aC.LY,aRIICLCLY.eCIx'.Y:R2Ya <br />'A See Attached Document (Notary to cross out Imes 1-6 below) <br />See Statement Below (Lines 1-6 to be completed only by document signer(s), not Notary) <br />of Document Signer No. 1 Signature of Document <br />A notary public or other officer completing this codlficate verifies only the Identity of the Individual who signed the lII <br />document to which oils certificate is attached, and not the truthrult us, aceuraq,, or validity of that document. I <br />State of California <br />County of —6—ACUS5170 <br />CA1N t.EENC. OTEE.E <br />i Commission i 2118120 <br />9 Nolery Pubde • gnitemN <br />granasesumy <br />K Costal. fix Mss r 10, 2020 <br />Subscribed and sworn to (or stormed) before me <br />on this,QI�s day 20-U, <br />by Date Month Year <br />(1) <br />Neme(s) of Signals) <br />proved to me an the basis of satisfactory evidence <br />to be the personN who appeared before me. <br />Signature ,V�,t1",�i��(b o�o <br />Signature of Notary Public <br />Seal <br />Place Notary Seat Above <br />OPT/ONAL <br />Though this section Is optional, cromploting this Information can dateralteration of the document or <br />fraudulent reattachment of this tom to an unintended document. <br />Description of Attached Document I ,,� <br />Title or Type of Document CQIA-W� W) Lp- CL'-- Nu Document Dater , 1 <br />NumberofPages:�Signer(s)Other Than NamecPrlA over,� <br />074M ccsFet��w vFe+ace.^r ,xvesaxwcattx ca•.m.:e xcecrcrzces;csererevcses•esse. ce�euxcccsF.� <br />02014 National Notary Association - www.NationWt4otary.org -1.800-US NOTARY (1.800.8788827) Item #5910 <br />."-z. ' <br />Comprehensive, Innovative. Trusted. <br />IMI,.,i <br />Proposal for On -Call Engineering, <br />RFP No. 17.083 <br />�1• <br />