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crry OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6446 <br />SAINT GERTRUDE AND GRAND AVENUE WATER MAIN REPLACEMENT <br />QWNP.RSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANIGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />t� <br />__[`T�O�Qhlb �4M1Lf7 <br />,being duly swom,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-pmmctship by: <br />who constitute the other members of the co -partnership. <br />CORPORATION <br />Thatheis�!yyf: <br />i' y"eS'i dtn <br />All CVAt J t3r..i,b..ele:ry y. , <br />a corporation which is making the foregoing proposal: <br />❑ JONT VENTURE <br />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 contract, for himself or any other person. <br />A?4310/VIe �R�ll>zEZ <br />Signature of Bidder <br />Subscribed and swom to before me this S day of OG401-e,.- 20'Z0 <br />L <br />Si re of officer Administering Oath (Notary Public) <br />JAVIER CASTRO GONZALEZZ <br />Cortlmlaslon No. 22814M <br />win <br />HOTAMY PUSIIc MFORMA <br />RMRSIOE COUNTY I <br />My Comm. EMmN CH I7.2= <br />P-8 ofP-19 <br />20B-29 <br />