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• <br />CITY OF SANTA ANA <br />• PROJECT NO. 08-5017: TRAFFIC SIGNAL INSTALLATION ON WILLITS ST & SULLIVAN ST <br />PROJECT NO. 08-5021: TRAFFIC SIGNAL INSTALLATION ON RAITT ST & GLENWOOD AVE <br />PROJECT NO. 08-5022: TRAFFIC SIGNAL INSTALLATION ON HARBOR BLVD & KENT AVE <br />PROJECT NO. 08-5023: TRAFFIC SIGNAL MODIFICATION ON SANTA ANA BL & FLOWER ST <br />PROPOSAL AND CONTRACT AGREEMENT <br />9. Control of and participation in this contract. Identify byname, race, <br />sex, and "6m~"those individuals (and their titles) who are n~ponsble <br />for day-today management and policy decision malting, including, NameofFum NameofFum <br />but not limited to, those with prime n~po->srbr7ity for. <br />a Financial decisions ~'~,~- Signature Signahue <br />Name Name <br />b. Managerrent decisions, such as: <br />Title Title <br />1. Estimating <br />Date Date <br />2. Marketing and sales Date <br />State of <br />3. Ruing and firing of management <br />County of <br />.7 <br /> <br />4. Prurhasing of major items or supplies <br />c. Supervision of field operations <br />Note: If after filing this Schedule B and before the axrrpletion of the <br />joint ventrno's work on the contract covered by this regulation, [hero is <br />any significant change in the infonnation sulmvtted, the joint venture <br />must inform the grantee, either directly or through the prime <br />contractor if the joint venttue is a subcontractor. <br />Affidavit <br />"Itie rnidersigned swear that the foregoing staterrents are cart~ct and <br />include all nrateiial information necessary to identify and explain the <br />terms and operation of our joint ventr>re and the intended participation <br />by each joint venttutx in the wrdertaltirtg Ftutlier•, the uixlersigned <br />covenant and agree to provide to grantee cwrent, complete and <br />actuate inforrriation reganJing acaial joint venture work and die <br />payment therefore and any proposed changes in any of the joint <br />venture atrarmgements and to pewit the audit and examination of the <br />books, imx:ads, and files of the joint ven[rire, by authorized <br />r~xrsentatives of the grantee a' the dal fwiding agency. Any <br />n><~mterial misrt'presentation will he gtnurmds for terminating any <br />contract which may be awarded and for initiating action order <br />F~er-al or State laws cxmncerning false slaterrents." <br />Atha~~art <br />F.arlubiRA-FR2 <br />8-07A7 <br />Cm this day of 19 before Ir>e appeared (name) <br />me personally known, who, being duly sw~om,, did <br />execute the foregoing affidavit and did state that he or she was properly atrttraizecl <br />by (Name of firm) <br />so as his or herfiEe act and deed. <br />Notary ]?ubfic <br />Commission expires <br />[sal <br />Date <br />State of <br />Courmty of <br />On this _ day of 19_, before ine appeared <br />Name) to me personally known, vvho being swan, did <br />execute die foregoing affidavit and did state that he or she was properly authorized <br />by (Name of firm) <br />so as his orha-fiee act and deed. <br />Notary 1'ubfic <br />Conmmission expires <br />[~11 <br />to execute the affidavit and did <br />to execute the affidavit and did <br />TO BE INCLUDED IN BID PACKAGE <br />BP I7 of 34 <br />