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OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />} <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />Curtis P. Brown 111 <br />being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />That be/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 for the co- <br />partnership by: <br />who constitute the other members of the co -partnership. <br />CORPORATION <br />That be is of: Pi3.;=E tT PALP, N0 D9 A <br />EXCU-RAVING �IMPrtiNY — <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 a joint venture, and the he/she has been and is <br />duly vested with the authority to execute instruments for an on behalf of the parties making said bid <br />who are: <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to <br />secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for <br />himself or y other person. <br />Curtis P. Brown III <br />President <br />Si ature of CONTRACTOR <br />Subscribed a d swgrn to before me this day of WT - t 2iP111 20 _ <br />Signature of officer ministering Oath (Notary Public) <br />PHILLIPS <br />COMM.#2170177 n <br />Notary Public -California p <br />° <br />LOS ANGELES COUNTY n <br />MY Comm. Expires Oct 29,2020 <br />City of Santa Ana RFP 20-106 <br />25G_021It <br />