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CITY OF SANTA ANA <br />PROJECT NO. 13 -7513: EL SALVADOR PARK WALKWAY RECONSTRUCTION <br />PROJECT NO. 13 -7514: WINDSOR PARK WALKWAY RECONSTRUCTION <br />PROPOSAL AND CONTRACT AGREEMENT <br />9. Catolofandpaticpadonm iscmkd Ideotifybyrmir ace, <br />sex, and `find'those individuals (axl thmbtles) who ae resporsble <br />far days rrra>aganant and Policy decision makM including <br />but not limited to, those with prune rvspo tnbrk for <br />a Financial decisicm H ,4 rL Kj f"" 1 1 IV4 S! /Al - l <br />b.Mahagarnatdacsior such as: <br />LEstimaling H,4PPY M (IVA fS IAIJ <br />AG t fi L ( -VJST: Co. I /J <br />Naneof�'ijm a Na►neofFmn <br />S� ��SSIAJ Sim <br />Name <br />I P— �StDENr <br />Tide Tide <br />JYIft't- 2B _ Z013 <br />Eon- <br />2.Maicelirgaidsales f-tA" <br />Date <br />3.Huing" ofnrxr�arnart <br />Alta^( f•1r A/A ff 1,a •./ <br />4.1[3wchasingof itemsoraffhes <br />A" `"t 1,✓,4fftA -✓ <br />o Supm ision offdd operatims <br />14Ap -p-y ►+� 1,A --J <br />NTa(e: g after filing this Miedule B and before the completion ofthe <br />jointvait re' swodconthecwhadcoveredbyfisregr atior,&=is <br />any sigpificart daW in the irdarrim submitted, the joint verrhae <br />must inform the garive, either directly or through the prune <br />cw hactor ifthe jourt vernLae is a subcontractor. <br />` Ibe undersigned swear that the foregoing sttrternabs are <br />correct aid mclude all material mfomrbm necessary to identify and <br />explain the tars and gxrabon of our joint venture and the intended <br />participation by each joint verturcr m the mdalaldrg. Ruth r, the <br />undersigned ooverrnt ad agree lo provide to gratift c rrelht, <br />cornpletc and accurate infomnatim regarding actual jourt verrtrre <br />wrik and the paymert dwrelb a and arty proposed changes in any of <br />the joint win ahmMnen s and to permit the audit and <br />examination of the books, records, and files of the jourt venture, by <br />aphorized represetilatives of the game or the Federal funding <br />agency . Any material misvepteuilation will be gourds for <br />tern tiding any cortact which may be awarded and for initiating <br />action underFederal or State laws commin Use sdznahts" <br />Aitadrmart <br />Exhi*A -FIU <br />8-07-97 <br />Slateof <br />Countyof <br />M <br />S"d <br />Wary Certificate <br />On this _ day of 20_, before me appeared (none) <br />to me personally lmown, who, being drily swot, did a=ute the <br />foregoing affidavit and did staff that he or she was prapaiy au tlaized by (Nave of f m) <br />NotayPublic <br />Canunissiona#res <br />[SeA <br />Date <br />Stateof <br />Courdyof <br />to owcute the affidavit and did so as his or her free act and dead. <br />On this _ day of 20� b&m me appeared <br />oq me) to me pasorrally kuwrh, who beirg wxm, did omite the <br />foregoirg affidavit and did slate that he or she was propaiy a llmimd by (Name of fun) <br />Not ryPublic <br />BP 19 of 30 <br />iD exearte the affidavit and did so as his or her five act and deed. <br />TO BE INCLUDED IN BID PACKAGE <br />