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CITY OF SANTA ANA <br />PROPOSAL <br />NO.20-2714: EL SALVADOR PARK BASKETBALL COURT AND COURT LIGHTING <br />NO. 20-2717: RIVERVIEW PARK BALLFIELD SPORTS LIGHTING <br />OWNERSHIP AFFIDAVIT <br />STATE OF CAIHORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Maw —Ann Feilrneler being duty sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party mating the foregoing proposal: <br />❑ PARTNERSHIP That he/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 />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />0 CORPORATION That he is of: <br />RMF Contracting, Inc. dba R&M Electrical Contracting <br />a corporation which is making the foregoing proposal: <br />❑ 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 authority to execute instruments for an on behalf of the <br />parties 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 <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 />Signature If Bidd r <br />Subscribed and sworn to before me this day of May 20 21 <br />Kbu- ) <br />Signature of officer Administering Oath (Notary Public) <br />A notary public or other officer completing this certificate verifies only the <br />identity of the individual who signed the document to which this certificate <br />is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of Californ. 1 //�t <br />County of —�o�r <br />Subscri ed and sworn to (or (or afe me on this 54-kday <br />of _,215L�,by MciAAAA ePyt let' <br />proved to me on the basis <br />of satisfactory a enc� to be tt{h/'� ppeer�I°n(s�1/'w�h�o �appeared before me. <br />Signature 1/\ / V 1LW-C/y Seal) <br />-7 P-6 of P-17 <br />_ RARI LVEREON <br />- Notary iubiic-California <br />oracge Cocn" <br />Cannissi.r a 2321176 <br />3 i "' MY CeRT. Ex -"-es Peg 11, 2024 <br />