Laserfiche WebLink
e 6 <br />CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6466 <br />WILLARD NEIGHBORHOOD SEWER MAIN IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITYOF <br />SSANNTAA A/NANA <br />/' <br />` �d-w 1 /t N r t/"+t� , being duly sworn, deposes and 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 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 />WORPORATION Tt aft he is� r`Incl. <br />a corporation which is makingg the foregoing proposal:([�r.Yl C <br />❑ JOINT VENTURE 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 duly vested with the authority to execute instruments for an on behalf of the parties <br />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 collusion <br />to secure any advantage against the City of Santa Ana or any person interested in the proposed <br />contract, for hit elf or a erson. <br />mature of Bidder <br />Subscribed and swom to before me this day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />____23B-14 <br />