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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 19-6425 <br />MABURY PARK STORMWATER CAPTURE <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFO,�j,NIA ) <br />COUNTY OF Oa *E z.e5 "-"1) SS: <br />CITY OF SA+ ' u S A kX p ) <br />being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP <br />That he/she is a member of the co -partnership thin 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 />InICORPORA'FION <br />That he is of: S7 L— A S� �� ""3 C <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/sire 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 se r�e/any advantage against the City of Santa Ana or any person interested in the <br />proposed &nirch,.for himself or any other person. <br />Subscribed and sworn to before the this<��� day of 20 <br />Signature of officer Administering Oath (Notary t u i <br />P-6 of P-16 <br />