Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6906 <br />EDINGER AVE. AND BRISTOL ST. CLASS II BICYCLE LANES <br />FEDERAL PROJECT NO: HSIPL 5063(180) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA I <br />COUNTY OF 9ik41ic,& Riverside I ss: <br />CITY OF S"M"V "A Corona 1 <br />Edward J. Carlson , being duly swam, 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 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 That he is of: Vice President <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE That he is of: <br />one orthe parties making the foregoing proposal as ajuint 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 himself or any other person. <br />Signature of Bidder Edward J. Carlson, Vice President �Gr✓ �� G�i �� <br />to before me this day of 20 <br />Signature of officer Administering Oath <br />11-7 of P- 0 <br />20D-15 <br />