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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-6903 <br />HAZARD AVENUE PROTECTED BIKE LANES <br />FEDERAL PROJECT NO: CML-5063 (182) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Abraham Jaewoo Jeon ,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 />® CORPORATION Thathe is of., President <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 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 <br />Subscribed and sworn to before me this 25 day of Feb. 2020 <br />Signature of officer Administering Oath (Notary Public) <br />HI80N KIM <br />Notary Public • California <br />•� - orange County E <br />Commission t 22"196 <br />My Comm. Expires Jul 18, 2023 <br />P.PPliP <br />