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CITY OF SANTA ANA <br />INSTRUCTIONS TO BIDDERS <br />PROJECT NO.: 21-6458 <br />MISCELLANEAOUS STORMDRAIN REPAIRS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Curtis P. Brown Ill 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 />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 That <br />PFEgif�ALP, IN- 08A <br />nvuf EXCEL PAVING COMPANY <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 ajoim 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. Curtis P. Brown III <br />_91L- President <br />ature of Bidder <br />Subscribed and sworn to before me this day ofAUG 14 ?R?0 20 <br />Signature oTofficeqdministering Oath (Notary Public) <br />PHILLIPS <br />COMM, #2170177 n <br />' Wary Public -California m <br />LOSANOELESCOUNTY a <br />COMM. Expires Oct 29, 2020 <br />P-6 of P-17 <br />