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Item 16
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04/06/2021 Regular
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Item 16
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4/9/2024 4:49:49 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Item #
16
Date
4/6/2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6802 <br />LINCOLN AVE. PEDESTRIAN PATHWAY PARK LN. TO SANTIAGO CREEK <br />ATPL-5063(177) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Wes Wright 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 />NIA <br />who constitute the other members of the co -partnership. <br />® CORPORATION That he is of <br />President <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE That he is of: <br />N/A <br />one of the parties making the foregoing proposal as a joint venture, and the he/she has been <br />and is duly vested with the authority to execute instruments for an on behalf of the parties <br />making said bid who are: <br />that such a -laid is genuine and not collusive or sham, and has not in any manner sought by collusion <br />to secure -any -advantage against the City of Santa Ana or any person interested in the proposed <br />contract; f6t hi2hself or any ther rson. <br />-Signature of bidder <br />Subscribed and sworn to before me this �, Ci day of .Tout a1-, 20 � <br />Signature of offs r ministering Oath (Notary Public) <br />*SEE ATTACHED NOTARY ACKNOWLEDGEMENT* <br />P-9 of P-20 <br />
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