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CITY OF SANTA ANA <br />REBID 2 <br />PROPOSAL <br />PROJECT NO, 20-6965. ATP 5063(196) - STAN''DARD AVE BIKEWAY FROM WARNER AVE TO 2ND ST <br />PROJECT' NO. 20-6962, ATP 5063(198) MCTADDEN AVE BIKEWAY FROM HARBOR BI_VD TO GRAM] AVE <br />PROJECT NO.23-6707 - STANDARD AVE PAVEMENT REI [ABILITATION FROM WANNER AVE TO 2NI) ST <br />PH[)Il;C7 NO.23-6705 - MCI=ADDEN AVF. I' AVEMFNT R1-HABIL[TATION FROM IIAR13OR BLVD,ro FAIRVIEW 5T <br />PROJECT' NO. 19-6923 - MCFADDEN AVL PAVEMENT RI-HABILrrATION FROM FAIRVIEW ST TO RA[T'T Sf <br />PROJECT NO, 23-6706 - MCFADDEN AVE PAVEMENT REHABILITATION FROM RAIT-1' ST TO GRAND AVE <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALWORNIA } <br />COUNTY OF ORANGE )SS-, <br />CITY OF SANTA ANA } <br />Vido Samarzich being, duly sworn, deposes and says: <br />❑INDIVIDUAL 'I bat he/she is the patty making the foregoing proposal: <br />❑ PARTNERSHIP That heNbe is a member of the co-pattnemhip liim designated as: <br />and who has been and is duty vested with the authority to make and execute insuutnents, <br />for the cu-panner4hip3 by: <br />who constitute the oflter members of the co -partnership. <br />(ja CORPORATION That he is of: <br />Vida Samarzich, Inc. <br />a c0gX')ralion which is making the foregoing propxxal: <br />❑JOINT VFNTURF Tltat lie is nf. <br />one of the patties making the foregoing proposal as a joint venture, and the helsltt: has been <br />aitd is duly vested with the authority to execute inst umcnts for art nil behalf of the parties <br />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 <br />to secure any advantage against the City of Santa Ana or any person interested in the proposed <br />con act, for hims if or any other 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 />P-18 of P-30 <br />