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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 20-7531 <br />SANTA ANA ]REGIONAL TRANSPORTATION CENTER <br />SOUTH R[?STROOM RENOVATION <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />R—mihd Al men) _ _ ---being being duly sworn, deposes mid 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 acid is duly vested with the authority to make and execute instruments <br />for the co. partnership by: <br />who constitu l,,the other members of the co. partnership. <br />CORPORATION That he. is oC <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTLRE The[ he is of <br />one of the parties malting the foregoing proposal as a joint venture, :aid 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 himse jo any other person. <br />Signature of Bidder <br />Subscribed and sworn to before the this,,-_, 11 ___ day of /0 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P46 <br />