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Agenda Packet_2022-10-04
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Agenda Packet_2022-10-04
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10/3/2022 1:32:09 PM
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10/3/2022 11:15:11 AM
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City Clerk
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Agenda Packet
Date
10/4/2022
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-2744 <br />SANTA ANA ZOO GOAT TRAIL <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />Brad Cooke <br />being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP <br />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 />[CORPORATION <br />That he is of: <br />President, Secretary and Chief Financial Officer of G. B. COOKE, INC. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <br />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 c id is genuine and not collusive or sham, and has not in any manner sought by <br />co u 'on t s u any advantage against the City of Santa Ana or any person interested in the <br />pr con act for himself or any other person. <br />A' <br />Signature of Bidder <br />Subscribed and sworn to before me this day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />City Council 8 —11 10/4/2022 <br />P-11 of P-22 <br />
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