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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 20-6907 <br />LOCAL STREET PREVENTATIVE MAINTENANCE FY 2019-20 <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />CITY OF SANTA ANA <br />Edmrd J. Cedson <br />❑ INDIVIDUAL <br />❑ PARTNERSHIP <br />SS: <br />) <br />being duly sworn, deposes and says: <br />That be/she is the party making the foregoing proposal: <br />That he/she is a member of the copartnership 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 ofthe co -partnership. <br />9 CORPORATION That he is of <br />a corporation which is making the f"ongoing <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 conttrraa"ctt,,�for himself or any other person. <br />Signature'of e�Carlson, Vice Presiden�1 <br />Subscribed and sworn to before me <br />day of 20 _ <br />Signature of officer Admitli,WFlig Oath (Notary Public) <br />P-6 of P-17 <br />