Laserfiche WebLink
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 />CITY O�F�SA�N�TAA A/�NAA ,�) <br />C-l'�d�IG't ?e 1 A N !� W— , 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-parmership 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 />a corporation which is making the foregoing proposal <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 hi elf or at erson. <br />nature of Bidder <br />Subscribed and sworn to before me this <br />day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />