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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-2675 <br />CIVIC CENTER STORMWATER LIFT STATION RENOVATION <br />OWNERSHIP AFFIDAVIT <br />STATE 01: CALIFORNIA <br />COUNTY OF OIFANGE <br />C1'FY OF SANTA ANA <br />Ali Yazdanshenas <br />❑ INDIVI DUAL, <br />0 F'AMERSHIP <br />[ 9CORPORATION <br />❑ 7OIN'r VENTURE <br />SS: <br />) <br />being duly swom, deposes and says: <br />That he/she Is the party making the foregoing proposal: <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-ptnlnership by: <br />who constitute the other members of the co -partnership. <br />That he is of <br />Armu: Engineering Contractors. I tic, <br />a corporation which is making the foregoing proposal: <br />That he is of <br />one of the parties making the foregoing proposal as ajoint venture, and the he/she has been <br />and is duty vested with the authority to execute instruments t'or an on behalf' of the parties <br />ranking said bid who are: <br />that such a bid is genuine and not collusive or shunt, and has not in any manner sought by collusion <br />to secure any advantage against the City of Santa Ana or any person interested in the proposed <br />contract, for himself or any other person. <br />Gl `;P,114d.�1-'. . <br />Signature of Bidder <br />Subscribed and sworn to before me this day of 20 _ <br />SEE ATTACHED <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />__ _23B-14 <br />