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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO,:-21-6466 <br />GROVEMONT STREET WATER MAIN IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Pablo Viramontes being duty sworn, deposes and says; <br />ā¯‘INDIVIDUAL That lie/she is the party making The foregoing proposal: <br />ā¯‘PARTNERSIIIP That he/she is amember of the co -partnership firm designated as: <br />andwho 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 membersof the co -partnership. <br />OCORPORATION That he is of Stephen Doreck Equipment Rentals, Inc. <br />Vice Prest n <br />0 JOINT VENTURE That he isof <br />one of the parties making the foregoing proposal as a joint venhue, and the he/she has <br />been and isduly vested with the authority to executeinstruments for an on behalf of the <br />parties making said bid who ate: <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 />propose" n et, for hi if or any other person. <br />Pablo Viramontes / Vice President <br />Subscribed and sworn to before me this 28th day of September 2021 <br />Signatu0e f of i er Administering Oath (Notary Public) <br />Sylvia Sifuentes / Notary Public <br />P-7 ofP-18 <br />