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23A - CA PROFESSIONAL ENGINEERING FOR BIKE TRAIL AND SADDLEBACK PARK
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12/17/2019
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23A - CA PROFESSIONAL ENGINEERING FOR BIKE TRAIL AND SADDLEBACK PARK
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Last modified
12/12/2019 5:44:31 PM
Creation date
12/12/2019 5:33:11 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
12/17/2019
Destruction Year
2024
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL <br />PROJECT NO. 18-7533: SADDLEBACK VIEW PARK <br />SECURITY LIGHTING <br />OWNERSHIP AFFIDAVIT <br />S"FAH OFCALIFORNIA <br />) <br />COON:IY OF ORANGI? <br />) SS: <br />CITY OF tiAN IA ANA <br />) <br />. being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />I hat he/she is the partVmaking the fORgoing proposal: <br />❑ PARTNERSHIP <br />That he/she is a memhcrof the co -partnership firm designated as: <br />and who has been and is dull vested with the authorih to make and c\ccute instruments <br />for the co -partnership bN: <br />who constitute the other members of the co -partnership. <br />VCORPOR.AIION <br />that he is ol: <br />❑rasaern <br />a corporation which is making the foregoing proposal: <br />❑JOINT V EN I U R 1, <br />That he is o C. <br />one of fhe parties making the la-ceoiug proposal as ajoad venture, and the heishe has been <br />and is duly vested with the authorih to execute instruments liar an on behalf of the parties <br />making said bid who are: <br />that such a b' is genuine and not collusive or sham, and has not in any manner sought by collusion <br />to sec re a a van�ageainst the City of Santa Ana or any person interested in the proposed <br />contra fo himself her person. <br />Signatur o idder �Q <br />Subscribed and sworn to befor me this day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />
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