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VIDO SAMARZICH, INC.
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VIDO SAMARZICH, INC.
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Last modified
10/9/2020 11:57:02 AM
Creation date
10/23/2019 3:28:44 PM
Metadata
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Template:
Contracts
Company Name
VIDO SAMARZICH, INC.
Contract #
20-7532
Agency
Public Works
Council Approval Date
7/16/2019
Document Relationships
23A - PROJ - STREET CURB RAMP IMPROVEMENTS
(Attachment)
Path:
\Agenda Packets / Staff Reports\City Council (2004 - Present)\2019\07/16/2019
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 20-7532 <br />LOCAL STREET CURB RAMP IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA f ) <br />V1 PO I. -%qW lq-z1Cu 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 film 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 />WI <br />who constitute the other members of the co -partnership. <br />WCORPORATION That he is of: <br />�Do �Aae�Q2tctlt ING <br />a corporation which is making the foregoing proposal: <br />El JOINT VENTURE That he is of: <br />one of the parties making the foregoing proposal as ajoint 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 />collusion to secure any advantage against the City of Santa Ana or any person interested in the <br />propose ntr t, or himself or any other person. <br />Vlmo C. S�Y.nARtf�f� <br />Signature of BidAer <br />Subscribed and sworn to before me this day of 20 <br />SEE A HE D <br />Signature of officer Administering Oath (Notary Public) <br />P-5 of P-15 <br />
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