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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6909 <br />BRISTOL REHABILITATION FROM 17TH ST TO SANTA CLARA AVE <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />STEVE MENDOZA <br />being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the parry 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 />I3CORPORATION That he is of SECRETARY OF R.J. NOBLE COMPANY <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 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 />collusion to 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 />X A '' 0= <br />Signature 61013idderSTEVE MENDOZA, SECRETARY <br />Subscribed and swprn to . ore me this 9TH day of JULY _ 2019 <br />X ; /a <br />Signature of officef #ldministering Oath (Notary Public) <br />J. DE IONGH IIj <br />J. DE IONGH e a <br />Commission # 2128504 <br />cyp-,✓n Notary Public - Califoima <br />z\ Orange County <br />!— My Comm. Expires Oct 28, 201 q f, <br />P-6 of P-16 <br />