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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2653 <br />CIVIC CENTER RENOVATE ADA ACCESS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />-Don A Id L , 4e rt C( f.�6.0 V-1 , being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making 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 mid execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />XORPORATION That he is of: 4Pye5i �t1T Cid C�e,e.� VtC4it, <br />"' a corporation which is malting the foregoing proposal:l✓ <br />❑ JOINT VENTURE That he is of: <br />one of the patties 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 malting 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 />co i n to secure any advantage against the City of Santa Ana or any person interested in the <br />opose ontract, for him elf or any other person. <br />Signature of Bi der <br />Subscribed and <br />day of �;eirJ 20 <br />Oath (Notary Public) <br />P-7 of P-17 <br />..Q <br />reosis roLSBaNBNnensoNCow#2888732TARY PUBLIC -CALIFORNIALOS ANGELES COUNTY <br />MY COMM. UP. Nov, 15, 2010 <br />