Laserfiche WebLink
CITY OF SANTA ANA <br />RFP NO.: 22-096 <br />ON CALL EMERGENCY ASPHALT & PCC <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Nezar Alsmadi, President being duly swom, deposes and says: <br />INDIVIDUAL That he/she is the party making 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 for the co -partnership <br />by: <br />who constitute the other members of the co -partnership. <br />®CORPORATION That he is of'. We R Builders, Inc. <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 been and is duly vested <br />with the authority to execute instruments for an on behalf of the 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 collusion to secure any <br />advantage against the City of Santa Ana or any person interested in the proposed contract, for himself or any other <br />person. 1� <br />of CONTRACTOR <br />6th February <br />to be is day of <br />Public) <br />20 23 <br />NATALIA ELIZABETH FLORES <br />COMM.#2338676 y <br />Z LOSANGELES COUNTY y <br />Q4 NOTARY PUBLIGCALIFOFNIAZ <br />MY COMMISSION EXPIRES <br />NOVEMBER 27, 2024 <br />Page 3 of 10 <br />