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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 18-2688 <br />SECURITY LIGHTING AT MORRISON PARK <br />OWNERSHIP AFFIDAVIT <br />STATE OF C—A-ttY'DANT7V-- <br />COUNTY HF6RA�SS: <br />CITY OF S�u-f <br />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: C L C <br />CASs <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 he is of: <br />a corporation which is making the for egoing proposal: <br />❑ JOINT VENTURE 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 />opos <br />Signature of Bidder <br />Subscrib and sworn to b f e me this day of 20 — oi�L9 0 <br />u <br />Sign ure of officer A in stering�otary Public) <br />SUSAN LYNN LATTUCA <br />Notary Public, State of New York <br />Registration #01 LA6360996 <br />Qualified In Suffolk County <br />Commission Expires July 3, 2021 <br />P-6 of P-17 <br />