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FULL AGENDA PACKET_2021-03-16
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FULL AGENDA PACKET_2021-03-16
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7/8/2025 11:27:07 AM
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Date
3/16/2021
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PROPOSAL <br />PROJECT NO.: 14-6802 WARNER AVENUE STREET IMPROVEMENTS (MAIN TO OAK) <br />PROJEC"I'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 ORANGE SS: <br />CITY OF SANTA ANA <br />ZYPA(-IA -O�H A being duly SWOM, deposes and says: <br />INDIVIDUAL That he/she is the party making the foregoing proposal: <br />PARTNERSHIP That lie/she is a member of the co -partnership firm designated as: <br />and who has been and is duly vested with the authority to make and execute instruments <br />flor the co -partnership, by: <br />who constitute the other members of the co -partnership. <br />ORIIORATION That he is of: <br />L-0 il r- ejo c— v— C <br />a corporation which is making the fioregoing proposal: <br />JOIN-I'VENTURF, That he is of. - <br />one of the parties making the foregoing proposal as ajoint Venture, and the he/she has been <br />and is duly vested with the authority to execute iristr=MtS for an on behalf of the parties <br />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 collusion <br />to secure any advantage against the City of Santa Ana or any person interested in the proposed <br />co hin elforanyotherperson. <br />odr <br />Subscribed and sworn to before me this 21 day ofTAiJ),AF-- -- 20 2) <br />Signature of officer Administering Oath (Notary Public) <br />City Council 17-22 3/16/2021 <br />P-12 of P-23 <br />
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