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CITY OF SANTA ANA <br />PROJECT NOS. 12 -6753, 12 -753 1, & 11 -2618 <br />PROPOSAL AND CONTRACT AGREEMENT <br />9. Control of" participation in this contract. Identify by name, race, <br />sex, and "fine" those mclividuals (and their lilies) who am responsible <br />for day-to-,day aranagement and policy decision rnaWng, including, <br />Nameof rm <br />NameofFirm <br />but not limited to, those with prime responsibility fix- <br />a Financial decisions <br />Signature <br />Signature - — <br />Name <br />Name <br />b. Management decisions, such as: <br />1. Fstirhhamng <br />Tide <br />Title <br />Date <br />Date <br />2. Marketing and sales <br />Date <br />3. Nuing and firing of managerne t <br />State Of <br />County of <br />4. Purchasing of major items or supplies <br />On this <br />_ day of 20� before me appeared (name) <br />ID me personally known, who, being duly swan, did execute the <br />c. Supervision offield operations <br />foregoing affidavit and did state that he or she was }roperfy authonzed by (Name of firm) <br />to execubethe affidavit and did so as his or her fire act and deed. <br />Note: If, after filing this Schedule B and before the completion of the <br />Notary Public <br />joint venom's vwrk on the coritract covered by this regulation, there is <br />Commission expires <br />any significant change in the information submitted, the joint venture <br />must inform the grantee, either directly or through the prime <br />contractorifthejoint venture isasubcontractor. <br />Date <br />i -M.. <br />"The undersigned swear that the foregoing statements am <br />correct and include all material infonh>ation necessary to idr* and <br />explain the term and operation of our joint venture and the intended <br />participation by each joint vent m in the trndriaking Further, the <br />undersigned covenant and agree to provide to grantee current; <br />complete and accurate infomnation regarding actual joint venture <br />work and the payrrnent therefore and arty proposed changes in arty of <br />the joint vendee anangerrnerls and to permit the audit and <br />examination of the books, recoils, and files of the joint venture, by <br />authorized representatives of the gmtee or the Federal funding <br />agency. Any material misepresantation will be grounds for <br />teminating arty contract which may be awarded and for initiating <br />action urxlerFedral or State laws mrnorning firlse sla rrerls." <br />Attachment <br />Exhibit A FR2 <br />8 -07 -97 <br />Stateof <br />County of <br />On this _ day of 20_, before me appeared <br />( Name) to me personally known, who being sworn, did execute the <br />foregoing affidavit and did state that he or she was properly authorized by (Name of fin n) <br />to execautethe affidavit and did so as his or her free act and deed <br />Notary Public_ <br />Cornmissionexpires <br />[Seal] <br />BP 20 of 31 <br />TO BE INCLUDED IN BID PACKAGE <br />