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CITY OF SANTA ANA <br />PROJECT 11 -2612 — MAPLE STREET BIKE TRAIL ENHANCEMENT <br />PROJECT 11 -2605 — GOLDEN LOOP BIKE TRAIL REHABILITATION <br />PROPOSAL AND CONTRACT AGREEMENT <br />9. Conhnl of" participation in this contact Identify by name, race, <br />sex, and "firm" those individuals (and their titles) who are responsible <br />forday4a -day management and policy decisim making, including, <br />NameofFinn <br />NameofFitm <br />but notlimited to, those with prime responsibility for: <br />_ <br />a. Financial decisions <br />Signature <br />Sigrmatrre <br />Name <br />Name <br />b. Management decisions, such as: <br />Title <br />Tide <br />1. Estimating <br />Date <br />Date <br />2. Marlwting and sales <br />Date <br />3. Hiring and firing of marn<a,ement <br />State of <br />County of <br />4. Purchasing ofnhajor items orsupplies <br />On this <br />_ day of 20___, before me appeared (name) <br />to me personally known, who, being duly sm"A did execute the <br />foregoing affidavit and did staff that he or she was properly authorized by (Name of firm) <br />c. Supervision of field operations <br />to execute the affidavit and did so as his or her fiee act and deed. <br />Note: Il� after filing this Schedule B and before die completion of the <br />Notary Public <br />jointventrre's wor k on the contract covered by this regulation, there is <br />Commission expires <br />any significant change in the information submitted, the joint venture <br />[Seaq <br />must inform the grand either directly or through the prirne <br />contractor ifthe joint venture is a subcontractor. <br />Date <br />Affidavit <br />Staff of <br />County of <br />"llne undersigned swear that the I(',rr oing statements are <br />correct and include all material information necessary to identify and <br />explain the terns and operation ofourjoint venture and the intended <br />participation by each joint vehtuer in dhc a deitaking. Father, the <br />undersigned covenant and agree to provide to grantee current, <br />comply and accurate information regarding act" joint venture <br />work and the payment therefore and any prolx)sed changes in any of <br />the joint venture arrangements and to lvi mit the audit and <br />examination of the books, records, and fiks oi'die joint venture, by <br />authorized representatives of the grmuhtee or the Federal furxling <br />agency. Any material misrepresemition \\ill be grounds for <br />terminating any coact which may he aw.wded and for initiating <br />action under Federal or State laws conccmirn g f rlse statements:' <br />Attadmient <br />ExhilA A- FR28{17 97 <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 firm) <br />to execute the affidavit and did so as his or her free act and deed. <br />Notary Public <br />Commission expires <br />[Seal] <br />BP 18 of 28 <br />TO BE INCLUDED IN BID PACKAGE <br />