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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6885 <br />EDINGER PROTECTED BIKE LANES <br />FROM SANTA ANA RIVER TO BRISTOL ST. ATPL-5063(172) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />IA( �.1T a <br />rN'�'� , being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP <br />That he/she is a member of the cc -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 />oo' <br />RPORATION <br />��\\ <br />That he is of A" *Aasmmy AS /1'iN'C/( <br />a corporation which is making theforegoingproposal: <br />❑ JOINT VENTURE <br />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 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 />colluslonto secure any advantage against the City of Santa Ana or any person interested in the <br />proposed "contract, for himself or any other person. <br />Signature of Bidder wfm t <br />Subscribed and sworn to before me this <br />Signature of officer <br />(Notary Public) <br />P-8 of P-18 <br />20A-21 <br />