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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-0151 <br />COUNCIL CHAMBERS CONFERENCE ROOM RENOVATION <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Ricardo Serna <br />, being duly sworn, deposes and says: <br />❑ INDIV I DUAL 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 />ii2 CORPORATION That he is of: <br />RS Construction & Development, Inc. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT V ENTURE 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 />Apr contract, for himself or any other person. <br />Signature of Bidder <br />Subscrib and sworn to before me this 24 day of June 20 19 <br />Signature of officoAdministering Oath (Notary Public) <br />*See attached certificate <br />P-6 of P-16 <br />