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RE-ADVERTISEMJ NT <br />Appendix <br />ATTACHMENT 3-6: OWNERSHIP AFFIDAVIT <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />CITY OF SANTA ANA <br />Van Nguyen <br />❑INDIVIDUAL <br />❑ PARIMRSHIP <br />1 <br />SS: <br />being duly swum, deposes and says: <br />That he/she is the party making the foregoing proposal: <br />That he/she is a member of the ce-partnership 6nn designated as: <br />and Mio has been and is duly vested with the authority to make and execute instruments for the co- <br />partnership by: <br />wiio constitute the other members of the co -partnership. <br />CORPORATION That he is or: California Professional Engineering, Inc. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT V ENTORP. That he to of: <br />one of the parties making the foregoing proposal as a,joint venture, and the he/she has been mid is duly <br />vested with die wi liority to execute instruments for an on behalf of the pardcs making said bid who set: <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure <br />any advantage a ainst the Ci of Santa Ana or any person interested in the proposed contract, for himself or <br />any other pe9{sot ----7I <br />r <br />and sw�ctLo before me this I� day of t' 20 22 <br />of officer Adf3Aistering Oath (Notary Public) <br />ALICIANGUYEN <br />Notary Public - California <br />Los Angeles County S <br />° Commission st 2375906 <br />My COMM. Expires Sep 23, 2025 <br />City of Santa Ana RFP 21-095 <br />Page A3-7 <br />