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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 III <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/sire 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 />f <br />u CORPORATION <br />That he is of: pnesq)ENT PALP, WC DBA <br />EXCEL P0U 1r, GGAiPP WY — <br />a corporation which is making the foregoing proposal: <br />17 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, ny other person. <br />�X Curtis P. Brown III <br />- President <br />Sir attire of CONTRACTOR <br />Subscribed ai d sw o to before me tbis day of CCL- yt19A9l1?A 20 <br />1 <br />Signature of officer tministering Oath (Notary Public) <br />CPNILLCOMM.$21tary <br />Do';No� <br />Public-CLOS <br />ANOELESCmm. <br />apiresoot 29, 2o2oI <br />_._....... ..._._...._......_..... ......_..-._... ... .-........ . <br />City of Santa Ana RFP 20-106 <br />Page Al-26 <br />