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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 14-6802 WARNER AVENUE STREET IMPROVEMENTS (MAIN TO OAK) <br />PROJECT NO.: 18-6424 WARNER AVENUE WATER MAIN IMPROVEMENTS (MAIN TO OAK) <br />PROJECT NO.: 20-6618 WARNER AVE STORM DRAIN IMPROVEMENTS (MAIN TO OAK) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA } <br />COUNTY OF ORANGF ) SS: <br />CITY OF SANTA.ANA <br />A g�&C- -A o !" A V-� 413,y q i c -.. , being duty swom, deposes and says: <br />[D INDIVIDUAL. That he/she is the party making the foregoing proposal: <br />El PARTNERSINP That he/she is a member: of the ac-partnership firm designated as: <br />and who has been and`.is duly vested withtheauthority to make add exeeuto Instruments <br />for the co -partnership by <br />who constituno the other members of the co -partnership: <br />.ORPORATION Tbat he is of`. Lo 0 E,e-pc Y—t C, <br />a corporation which is making the foregoing proposal; <br />❑ JOINF VENTURE. That he is of:. <br />one ofthe parties making the: foregoing proposal as aloint venture, and the uerstie nas. peen. <br />and is duly vested with the authority to execute instruments far an on behalf oftheparties <br />malting said bid who are; <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion <br />to secure an advantage against the City of Santa Ana or any person interested in the proposed <br />cc -it <br />i elf or, any other person. <br />r ��%C1t-stet.. <br />Sigtla ure o <br />Subscribed and sworn to before me this day of THOU' F/ 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-12 ofP-23 <br />