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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6897 <br />FLOWER STREET BIKEWAY <br />FEDERAL PROJECT NO: HSIPL 5063 (187) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />John Wong <br />, being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP <br />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 />[51CORPORATION <br />'That he is of: <br />Vice President <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <br />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 />or any other person. <br />Rpm to before me this 10AI_ day of Maw 20 `!� <br />16`11SA "tr l WAA <br />of officer Administering Oath (Notary Public) <br />MWplk ar alhar officer wmRietingate veriftss only the idenllry oual who signed the document Io certlilcate is etteQ' valldily et tlneas. accuracy,ent. <br />_ , .'.... ELISA BEThl UM <br />COMITIssinn No. 2281037 <br />�j;- NOTARY PVBiIC.CAtIFORNIA <br />=AN BERNARDINO COUNTY <br />�.My Ca� E.��.�a ANRCH SI. 2p23 <br />r <br />