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CITY OF SANTA ANA <br /> PROPOSAL <br /> PROJECT NO.: 22-0504 <br /> COUNCIL CHAMBERS RESTROOM&TRANSLATION ROOM <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 patty 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 /> who constitute the other members of the co-partnership. <br /> 0 CORPORATION That he is of: <br /> LOENGREENINC <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 <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 bid 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 /> proposed con4; <br /> any other pe <br /> rson. <br /> Signature of Bi er <br /> Subscribed and sworn to before me this day of 20 _ <br /> cataia <br /> Signature of officer Administering Oath(Notary Public) <br /> �ttac <br /> City Council P-6 ofP-Ilxl — 10 7/16/2024 <br />