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CITY OF <br />PROJECT <br />BAKER-GLENWOOD <br />OWNERSHIP AFFIDAVIT <br />ANA <br />21-6446 <br />3R MAIN UPGRADE <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />being duty sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party took rig the foregoing proposal: <br />❑ PARTNERSHIP That he/she is a member oft ic co -partnership firm designated as: <br />and who has been and is dul y vested with the authority to make and execute instruments <br />for the co -partnership by: <br />who constitute the other mer ibers of the co-parnership• <br />CORPORATION That he is of: <br />ti C[ Ye 'k, <br />a corporation which is malch g the foregoing proposal: <br />❑JOINT VENTURE That he is of: <br />one of the Par&% making 6 4 fomgft p16PWPI sa a joint venture, and the he/she bas <br />been and is duly vested witk the authority to execute instruments for an on behalf of the <br />parties making said bid who . <br />that such a bid is genuine and not collusive or s <br />collusion to secure any ad antage against the City <br />proposed contract for If or any other person. <br />Signature of Bidder <br />Subscribed and swomrn to before me this <br />Signature of officer Administering Oath (Notary <br />a' ' HYE Y, KIM <br />COMM.q-CAI'M9 <br />N p NCTARM UBLIC•CALa2a7CRNIA N <br />QMr COUNTY <br />Mr Csuu. E%P. Jun 13.2024`a <br />a, and has not in any manner sought by <br />Santa Ana or any person interested in the <br />day of 20 <br />7 <br />