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23B - CONTRACT AWARD CONCRETE REPAIR
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02/05/2019
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23B - CONTRACT AWARD CONCRETE REPAIR
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Last modified
1/31/2019 7:15:22 PM
Creation date
1/31/2019 7:09:52 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
2/5/2019
Destruction Year
2024
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NOS,: 16-6864 AND 18-6864 <br />OMNMUS CONCRETE REPAIR PROJECT <br />AJ► ' 11_' :__ 19 s <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Joseph A. Nanci being duly swum, deposes and says: <br />❑ INDIVIDUAL That he/she is the party moking the foregoing proposal: <br />❑ PARTNERSHIP That he/she is a member of the co -partnership firm designated as: <br />and who has been and Is duly 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 That he is of. <br />EBS General Engineering, Inc. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE That he is oil. <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 />parties 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 gainstthe City of Santa Ana or any person interested in the <br />proposed contract, for himself or g y other person. <br />of <br />to before me this A day of \'W- 20 � D <br />Administering Oath (Notary Public) <br />P-11 of P-21 <br />23B-17 <br />f YK, FAIRWEATHER <br />Note; Public - Callfornla <br />qy =m Riverside County a <br />Commission # 2149313 <br />M Comm Ex iresA x21,2020+ <br />
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