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20A - AA BUSH ST BICYCLE BLVD
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06/16/2020
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20A - AA BUSH ST BICYCLE BLVD
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Last modified
6/11/2020 5:01:23 PM
Creation date
6/12/2020 2:55:39 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20A
Date
6/16/2020
Destruction Year
2025
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CITY OF SANTA ANA ADDENDUM <br />.. O.! <br />PROJECT NO.: 18-4002 <br />BUSH STREET BICYCLE BOULEVARD <br />PROJECT NO.: 21-6442 <br />BUSH STREET BIKEWAY WATER IMPROVEMENTS <br />PROJECT NO.: 21-6443 <br />BUSH STREET BIKEWAY SEWER IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA j <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Ourtls R Brown III <br />, 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 />u CORPORATION <br />❑ JOINT VENTURE <br />and who has been and is duly vested with Tc authority to make and execute instruments <br />for the co -partnership by: <br />who constitute the other members <br />a corporation which is <br />That he is of <br />co -partnership. <br />proposal: <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 />cont:5Z'CL <br />himself or any other person. Curtis P. Brown III <br />W-- President <br />Si tature of Bidder <br />Subscribed and sworn to before miePs MAY 141020day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />
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