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OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />CITY OF SANTA ANA <br />❑ INDIVIDUAL <br />❑ PARTNERSHIP <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 cc -partnership firm designated as: <br />and who has been and is duly vested with the authority to make and execute instruments for the co- <br />partnership by: <br />who constitute the other members of the co -partnership. <br />X CORPORATION That he is of: J & L Constructors 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 <br />vested 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 <br />secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for <br />himself or any other person. <br />Signature of Bidder <br />Notary: State of Florida, County of Duval 30th <br />Subscribed and sworn to before me this 24" <br />Notarized online using audio -video communication <br />day of January 20 24 <br />Signature of officer Administering Oath (Notary Public) <br />ID produced: DRIVER LICENSE. <br />\\\\\\`'AYlilp�u// <br />ABDULRAHMAN SARDANI <br />Notary Public - State of Florida <br />A. .0 <br />Commission # HH 382251 <br />�rF 04 \�� <br />Expires on Apnt 3.2027 <br />City of Santa Ana RFP 23-182 <br />Page A3-7 <br />