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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6446 <br />SAINT GERTRUDE AND GRAND AVENUE WATER MAIN REPLACEMENT <br />O)YNI RSNIP APirIDAVIT <br />STATE OF CALIFORNIA <br />COUNTYOFORANOt )SS: <br />CITY OF SANTA ANA <br />Ayolon*w skwa1M,T ,beingdulysworn,deposesandsays: <br />1]INDIVIDUAL That he/she Istheparty nuking the foregoing Proposal: <br />Q PARTNERSHIP That he/she Is a member of the co -partnership firm designated As: <br />and who has been and is duly xcsted with the authority to make and execute instruments <br />for the co -pastorship by: <br />who constitute the other members of the co•Parinersbip. <br />lec/oRPORATION Thathe is t <br />_l: <br />a corporation which is making the foregoing proposal: <br />JOINT VENTURE That he isop, <br />one of the patties making the foregoing proposal as a joint venture, and the he/she bas <br />been and is duly vested with the authority to execute Instruments for an on behalf of the <br />partles making sold 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 />�6V4zk)M1'Q <br />Signature of Bidder <br />Subscribed and sworn to before me this S day of QCASLe — 20 ?o <br />Si re o£offic�nistering Oath (Notary public) <br />FAJAVINIt CAMO GCINtAtJi:2 <br />Cotmmlaolon No. 2281406 ii' <br />aoTAavMW4AL*OWA I!! <br />anrtaaweeoerttr <br />ISatycawn. oar.. wttcx tr;zats <br />P•8 of P-19 <br />