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CITY OF SANTA ANA <br />PROJECT NO. 11 -6733: LYON STREET REHABILITATION FROM EDINGER TO CHESTNUT <br />FEDERAL PROJECT NO. ESPL 5063(138) <br />9. Conhol of and participation in this contact Idenrtify by rune, e, <br />sex, and `Tmi'those i divduals (and they tides) who are <br />for day - today nnanagennen t and policy decision niaking, inc <br />Name Man <br />Name ofFirm <br />bunnot unitedm, those withpr ne responsibility for <br />a. Fin ancW decisions <br />Signature <br />Signiatrue <br />Name <br />Name <br />b. Managenrren t decisions, such as: <br />Tide <br />Date <br />2. Marketing and sales <br />Date <br />3. Hiring and firing ofniuragennen t <br />State of <br />County of <br />4. Purchasing ofmajor ilerrs or supplies <br />On <br />day of 20_, before me appeared (name <br />to me pasomally known, who, being duly sworn, did execute tb <br />c. Supervision offiekloperations <br />foregoing aff>da <br />that he or she was pnvpedy by (Name of fair <br />• <br />to execu>e the affidavit and did so as his orber free act and deed. <br />Note: K after filing this Schedule B and before the corTletion ofthe <br />Notary Public <br />join i venture's w kontheoont act covered by&s regulation, there is <br />Conmimimogirs <br />any sig ifs change in the urfonnation subitnitted, the joint venire <br />nW mfomn the grantee, either directly or draigh the prier <br />conkactor. iftbe join vamre is a a bcont tor. <br />Date <br />"Ihe rudasigred swear that the foregoing suxtrntnts are <br />correct and and de aIl material unfonrr=m necessary to identify and <br />eVbm the tears and operation of our joint venture and the irbarded <br />particpitiom by each joint vernier m the mAitalorng. Further, the <br />undersigned covenant and agree to provide to grmt'e ciurreM <br />eenplete and accurate mfcmmftm regudung actual join vermre <br />wait and the paymext therefore and any proposed changes in any of <br />the jour vermre atrangenrrants and to pen nit the audit and <br />o mration of the books, records, and files of the joint vent re: by <br />arthaiaed nqxeseuhahves of the grantee or the Federal firxlang <br />agency Any gnat nal rnisrqxesexitation will be Bards for <br />tertniriating any contact which may be awarded and for initiating <br />actianu ck rFederal or State laws false sbtarits ' <br />Attadane nt <br />ExhMA—FR2 <br />01� <br />:r.r• <br />Cormty of <br />On this _ day <br />(Name) to n <br />faegomg affidavit and did state that <br />NotaryPublic <br />r � i may.• - u i <br />BP 18 of 29 <br />Of 20, before me appears <br />l pasork* known, who being sworn, did v=m th <br />he she was pmpeniy artlxriwd by (Name of f Tr <br />z ; the vrtarddidsoashisorherfineactarddeed <br />TO BE INCLUDED IN BID PACKAGE <br />