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Item 15 - Cabrillo Park Irrigation Renovation Project
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04/05/2022 Special and Regular & HA
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Item 15 - Cabrillo Park Irrigation Renovation Project
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4/8/2024 9:27:58 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Item #
15
Date
4/5/2022
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-2727 <br />CABRILLO PARK IRRIGATION RENOVATION <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA } <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Hue Ta being duly sworn, 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 <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />X❑ CORPORATION That he 'S fivi: arina Landscape, Inc. <br />a corporation which is malting the foregoing proposal: <br />❑ JOINT VENTURE That he is of: <br />one of the parties making the foregoing proposal as ajoint venture. and the he/she has been <br />and is duiy vested with the authority to execute instruments for an on behalf of the parties <br />making said hid who are: <br />that uch a bid is genuine and not collusive or sham, and has not in any manner sought by collusion <br />to s e any advantage against the City of Santa Ana or any person interested in the proposed <br />cont or imself or any other person. <br />Sian e of bidder <br />Subscribed and sworn to before me this 20th day of January 20 22 <br />Signature of officer Administering Oath (Notary Public) <br />P-b of P-17 <br />
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