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MY OF SANTA. ANA <br />PROPOSAL <br />PROJECT NO.: 18.6491 <br />WELL NO.29 IMPROVEMENTS <br />OWN'ERSE3.IP AFFIDAVI <br />STATn OF CALIFORNIA ) <br />COUNTY ON ORANGii ) SS: <br />''gCITYY OF SANTA ANA <br />f) <br />at i tit �bN od ( —, being duly sworn, deposes and says: <br />❑INDIVIDUAL Thathe/shelsthe parlymaking the foregoing proposal: <br />❑ PARTNMEIIP Thathe/ehe Is a member of the copartnership fhm. designated as: <br />and who has been and is duly vested with the authority to make and execute instruments <br />for the co-pm1norship by: <br />who constitute the otbor members of the co•pmtnership, <br />w CORPORATION Thatho is of <br />enunrlwOcd Cr}115NOcklon, triC . <br />a oorporation which is maldng tho faregoing proposal: <br />❑ JOINT VVNTURE That he is Of. <br />one of the parties maktag the foregoing proposal as a joint venture, and the he/she has <br />boon and is duty vested with the amborlty to oxoouto Msbvments for au on behalf of the <br />parties making said bid vAm 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 eoutr, r, for himself or -any o er person. <br />Y <br />Sig reofBldde 1 <br />ubseribed and sworn to before me this /iv.__ day of t 1 20 Aep, <br />Signature of offistering Oath (Notary .Publlc) V' •Coatme5mAi�sns�te2nrE5a Ntr;n <br />a <br />1336t1y57 <br />Y :a 130. <br />2 25 r <br />P-9 Of P-20 <br />