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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6448 <br />THORNTON PARK NEIGHBORHOOD WATER MAIN IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SAN[A ANA ) <br />Pablo Viramontes <br />being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP That hesho is a member of the co-parunership 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 fie is of. Stephen Doreck Equipment Rentals, Inc. <br />\ Ice Fresident <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURI: 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 A nntttraact, for or any other person. <br />Signature of Bidder <br />`Subscribed and sw 24th m to before me this day of April 2019 <br />Sigfia e offlder Administering Oath (Notary Public) <br />Sylvia Sifuentes / Notary Public <br />P-6 of P-I 6 <br />23A-19 <br />