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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 19-694I: ALTON REHABILITATION FROM RAITT TO BRISTOL <br />PROJECT NO.: 19-6617: ALTON DRAINAGE REPAIR AT D-03 CHANNEL <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />STEV E MENDOZA <br />, being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the parry making the foregoing proposal: <br />[]PARTNERSHIP <br />That he/she is a member of the copartnership 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 <br />That he/she is of. <br />SECRETARY OF R 1 NOBLE COMPANY <br />a corporation which is making the foregoing proposal: <br />❑ )DINT VENTURE <br />That he/she is oL• <br />one of the parties making the foregoing proposal as a joint venture, and the he/she hasbeen <br />and is duly vested with the authority to execute instruments for anon 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 himself/herself or any other person. <br />x M*4,,`_ <br />Signature of idder STEVE MENDOZA. SECRERTRARY <br />Subscribed andswom to IS fore me this 25TH day of JULY 2019. <br />Signature o£offrc,`er',Administering Oath (Notary Public) J. DE IONOH <br />J. DE IONGH �I / g <br />Coma Uelon 0 212050/l Notary Pulft - Ctlnomla i <br />crop county <br />Caron E dm Oc12g, 2019 r <br />P-7 of P-17 <br />23C-17 <br />