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OWNERSHIP AFFIDAVIP <br /> STATE OF CALIFORNIA <br /> COUNTY OF ORANGE )SS: <br /> CITY OF SANTA ANA • <br /> t_ct.t Y}df—L. A• • ?y-t_.LL or,being duly sworn,deposes and says: <br /> ❑INDIVIDUAL That he/she is the party making the foregoing proposal: <br /> ❑PARTNERSHIP That he/shc 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 for the co- <br /> partnership by: <br /> �P who constitute the other members of the co-partnership, <br /> I�t;ORPORATION That he is of pR <br /> �'\ l� t1G� Qt�t.�L4- sty <br /> a corporation which is making the foregoing proposal: `3ar.J$ <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 an of r person. <br /> Signature of Bidder <br /> Subscribed and sworn to before me this day of 20 <br /> Signature of officer Administering Oath(Notary Public) <br /> • <br /> City of Santa Ana RFP 23-182 <br /> Page A3-7 <br />