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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6915 <br />EUCLID ST. REHABILITATION: HAZARD AVE. TO WESTMINSTER AVE. <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />STEVEMENDOZA <br />being duly swom, 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 and execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />[2fCORPORATION That he is of: SECRETARY OF R.J. NOBLE COMPANY <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE That he is of: <br />one of the parties making the foregoing proposal as ajoint 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 against the City of Santa Ana or any person interested in the <br />proposed contract, for himself or any other person. <br />X <br />Signature'.df Bi4'er STEVE MENDOZA, SECRETARY <br />Subscribed and sworn to efore m his 16TH day ofJANUARY 2019 <br />X <br />Signature of officer A m'n stering Oath (Notary Public) <br />J. DE IONGH r' J. DE IONGH <br />Commission # 2128504 v, <br />¢ ° s Notary Public - Calitornia <br />z s, Orange County <br />My Comm. Expires Oct 28, 2019. <br />P-7 of P-17 <br />