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CITY OI+ SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-7537 <br />MAIN L HRARY CEILING IMPROVEMENTS <br />O)NERSHiP AFFT13AVIT <br />STATE OP CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />MAN DY being duly sworn, deposes and says: <br />© INDIVIDUAL That ho/she is the party making the foregoing proposal; <br />[] PARTNERSHIP That ho/she is a member of the co•parblership firm designated as: <br />and who has boon and is duly vested with the mtdlority to make and (Mee to instttnncnts <br />for the oo-parbtership by: <br />who constitute dte othermembers of the co-parMorship. <br />MCORPORATIGN W06EYSTONE CONSTRUCTION CORPORAT! N <br />a corporation which is making the foregoing proposal: <br />0 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 authodty to exomto instruments for ast can behalf of the <br />parties 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 contyact, for himself or any other person. <br />sworn to b 7 me this - day of v r 20 <br />� ��111LL <br />Oath (Notary <br />kriolstii OWN: a u4hit afarer wnrpbpry this cerahute verifies only the <br />Ideality of the tndhddual who sl/nN OW dtYumaet to which this certificate <br />Is attached, and not the tyuthfuiusb aetWacn or validity of that document. <br />State of CalderS�Ia <br />County of�Gi1.+n�^•+� <br />Subscribed and worn to (or affirmed) before me on this ` day <br />Of <br />oved to me on the basis <br />s �' of•Ati><gctory <yl'd u 1�br a"11401,104140 appeared before me. ' <br />.Alr (Sea11, , <br />e <br />P-6 ofP-17 <br />rM.x144� <br />EVAN 91SSM <br />Notary Public - California <br />Orange County <br />Commission k 2290130 <br />emy Comm. Expires Atay 26, 2023 <br />+w.wrrr <br />