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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 19-6495 <br />FIRST STREET UNDERCROSSING STORMWATER LIFT STATION <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />OF SANTA ANA <br />) <br />C`Cl//TY <br />being duly swam, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the party making are foregoing proposal: <br />❑ PARTNERSHIP <br />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 are other members of the co -partnership. <br />[X CORPORATION <br />That he is of: Arnaz Engineering Contractors, Inc. <br />a corporation which is nudang the foregoing proposal: <br />❑ JOINT VENTURE <br />That he is of. - <br />one of the parties making the foregoing proposal as a joint venlme, 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 ally person interested ill the <br />proposed c act, or himself or any other person. <br />Signa idder <br />Subscribed and sworn to before me this day of 20 <br />&R a �ye4 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />