Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.; 20-7532 <br />LOCAL STREET CURB RAMP IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF-CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA j <br />_,_ -V aQ L-. �$Ag/)R-a&W , being duly sworn, deposes and says: <br />[]INDIVIDUAL That he/sho 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 later is dilly vested with the authority W milks and execute instruments <br />for the co -partnership by: <br />who constitute the other mee(n��tbcis of the co -partnership. �— <br />CORC'OfW'[ON That he is of.'�IACa c�ArMR/e21G�( _gt{( <br />n corporation which is malting the foregoing proposal: <br />❑ JOINT VEN`PURE That he is of. <br />one of the parties making the foregoing proposal as a joint venture, and the he/she has <br />been and is duly vested with the authority to execute insnvmonts 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 />propose nh' t, or himself or any other person. "e <br />QV Ii'j 4.. �t'MEl2'L1 Cr^y <br />Signature of - udder <br />Subscribed and sworn to before me this day of 20 _ <br />SSE iAc U <br />Signature of officer Administering Oath (Notary Public) <br />P-5 of P- l S <br />23A-17 <br />