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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.20-7530 <br />JEROME PARK BALLFIELD LIGHTING (WEST FIELD) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />CITY OF SANTA ANA <br />Geoff R <br />❑ INDMDUAL <br />❑ PARTINF'RSI 1I1' <br />VCORPORATION <br />❑ JOINT VENTURE <br />SS: <br />being duly sworn, deposes and says: <br />That he/she is the party making the foregoing proposal: <br />That he/she is a member of the co -partnership Finn designated as: <br />and who has been and is duly vested with the authority to make and cxecnte instruments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />That he is of: <br />President, Secretary, Treasurer <br />a corporation which is making the foregaing proposal: <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 such a hid 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 />on , for himself or any other person. <br />� <br />Signature 4-bidder <br />Subscribed and sworn to before me this day of <br />Signature of officer Administering Oath (Notary Public) <br />20 <br />P-6 of P-17 <br />