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CITY OF SANTA ANA <br />PROJECT NO. 12 -6758: TRAFFIC SIGNAL INSTALLATION ON FAIRVIEW ST & EDNA DR <br />PROJECT NO. 12 -6759: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & EUCLID ST <br />PROPOSAL AND CONTRACT AGREE <br />9. Conhd of and participation m this contract Ider* by rrame, <br />race, sex, and `Tmn" those individuals (and their tides) who are <br />resporarble for day4c -day matraganart and Policy decision <br />rnalang, inchrdng, but not limited to, those with prime <br />respo wity for <br />a Financral decisions <br />b. Managemat decisicns, such as: <br />1. Estimating <br />2 Market ngand sales <br />3. Hiring and firing ofmanaganart <br />4. Ptuchasing ofrmjor items or supplies <br />c. Supervision offield operations <br />Name ofFimu <br />Name <br />S dJ t c72 'D c - <br />Tide Tide <br />11 1 IS 1 1Z.. <br />Dal Date <br />m <br />.of W$fm, k <br />County of Aldi n <br />On this 6 day of % 262, before me appeared (name) <br />%afmolo, me personally known, who, being drily swot, did exeam the <br />foregoing affidavit and did slate that he or she was properly awed by (Name of firm) <br />U 1 9exearte ttre affidavit and did so as his or her free act and <br />deed. .. <br />Note: Ii; affer filing this &decide B and before the om plebm of Not,y pubkVjM <br />the joint venue's work on the contract covered by this regulation, Conmlissioncom <br />there is any significant: charge in the mfonnatim submitted, the <br />joint: vertu a must inform the grante- , efther directly or thrugh the [Seal <br />prime conhaclorifthe jointvatm is ate. Dft <br />`°Ihe rurdasigned swear that the foregoing statements are <br />coned and include all r mimal mfomnahm necessary to identify <br />and explain the tarry and operation of our joint venture and the <br />intended participation by each joint ver ttm m the wig. <br />Further, the undersigned covararrt and agree to provide to garrte <br />errant, cornplete and warmbe irrfor lMm regarding actual joint <br />veram work and the payment therefore and any proposed changes <br />in any ofthe jourtverrlm arrangernem and to permit the audit and <br />examination ofthe books, records, and files ofthe joint verase, by <br />a hmzed rgxesu=ves of the grantee or the Federal finndnng <br />agency. AT material nusrepresen atiorn will be grounds for <br />terminating any contact which may be awarded and for nmaong <br />action under Federal or State laws concerning false slaterrrerrts" <br />Imo^ I <br />I X.14 IT 1 '♦ <br />,I J <br />Stage of <br />County of <br />Commission #F 1868579 <br />Notary Public - California <br />Marin County <br />Comm. Wires Nov 14, 2013 i <br />On this _ day of 20_, before me appeared <br />(Name) to me personally k "mi, who being swam, did exmk the <br />foregoing affidavit and did state that he or she was property authorized by (Name of firm) <br />Notary Public <br />BP 19 of 30 <br />to execute the affidavit and did so as his or her fzee act and deed. <br />TO BE INCLUDED IN BID PACKAGE <br />