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CITY OF SANTA ANA <br />PROPOSAL <br />PROD ECT NO.: 15-6453 <br />RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS <br />QWNFRSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY 01: ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />1 'S�-��'•�l�+v^1 (Ci , being duly swam, deposes and says: <br />[]INDIVIDUAL That hdxbe is the patty making the foregoing proposal: <br />❑ PAI'TN'ERSI TIP That bdskc is a member of the co-parmcrship firm designated as: <br />and wino has been and is duly vested with the authority to make and execute instruments <br />for the co-parmcrship by: <br />who constitute the other members of the co -partnership. <br />CORPORATION That he is of: <br />Qrl?S'i deni' of <br />II rtha♦ Fn vu vn G :1'"c <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 />AQo1oNi-o FAtA Riz <br />Signature of Bidder <br />Subscribed and sworn to before me this day of A!0 V 20 19 <br />Z --y�_ <br />Signatu of officeer"A�d-ministering Oath (Notary Public) <br />JAVIER CASTRO GONZALE2 <br />X Comminkin No. 228146e <br />i 0 WTARY PLO-r-C LWORN1A <br />RNERSDE CWNty <br />w Comm EWY MARCH 17, 210 J <br />P-7 of P-17 <br />20B-18 <br />