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20C - AA FY 2019-30 CIP FLOWER ST
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20C - AA FY 2019-30 CIP FLOWER ST
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Last modified
1/16/2020 7:03:23 PM
Creation date
1/16/2020 5:56:17 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20C
Date
1/21/2020
Destruction Year
2025
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 20-6956 <br />GAS TAX LOCAL STREET IMPROVEMENTS FY 19/20 <br />PROJECT 20-6437 <br />FLOWER STREET SEWER MANHOLE IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANfA ANA ) <br />Thomas Nanci , 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 -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 />61ORPORATION That he is of <br />EBS General Engineering, Inc. <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 behalfof 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 />contr t or mself or any other person. <br />Signature of gidder Thomas Nanci, President <br />Subscribed and sworn <br />/Jl'? <br />t^o/bee3I <br />fore me this 0 day of nOC— 20 <br />i (bo l FL' Y, <br />Signature of officer Administering Oath (Notary Public) <br />,,.-•`_.',,, WILLIAM E. ELLIS <br />Notary Public - California <br />_9 Riverside County <br />Commission N 2306766 <br />"'• My Comm. Expires Oct 23, 2023 <br />�O P�0 <br />
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