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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-9001, 18-6911, 20-6958, 21-6451, 19-6940 <br />SOUTH MAIN STREET CORRIDOR IMPROVEMENT <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />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 execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />[/ORPORATION That he is of <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE That he is of !1� <br />~'f 5 <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 bid is ge uine and not collusive or sham, and has not in any manner sought by collusion <br />to secure any adv age against the City of Santa Ana or any person interested in the proposed <br />contract, for himse ny other person. <br />Signature of Bidder <br />Subscribed and sw to before me this day of 20 <br />Signature of officer <br />Oath (1r Wttblic) <br />P-11 of P-22 <br />