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CITY OF SANTA ANA <br />PROJECT NO. 13 -7511 CITYWIDE RESIDENTIAL STREET REPAIR - PHASE 17 <br />PROPOSAL AND CONTRACT AGREEMENT <br />9. Control ofandparacipatoninthis contact. Ider i byname,cace, <br />sex, and" fum "tlrose individuals (andtheirfides) who aereslxmsible <br />for day-to-day nnanagennert and policy decision malting, inchdl% <br />butnotivmtedto,th wthp me cesponsibilityfor <br />aFmmcialdccisiong C Ar� <br />lc c rv1 r\ � ��, F11_� r, t.�S �t - •, lard <br />b. Management decisions, such as: <br />1.Fstrruatng` %.1 tAS -ru t \\ s \7YP \c bY1--t <br />�t1° tFxArhiC.r1-lralo <br />Superior Paving Company, Inc. <br />dba United Paving Company <br />NamebfFinn NaeneofFinn <br />siganarre gnai <br />Name Nam <br />\yC�,1C�C °f1'� <br />Tide Tide <br />PUP <br />IM <br />2.Madcelingandsalesij ^ rlt �P F'i11t�1'� <br />Mi r\ ,) A1)%IA:S'%E Dare ''� 1 1 "L ( , <br />3. Hiring aui firing oft anagenient Shateof CP.ti t'` t °N M \9 <br />Cotrryof <br />4. Purdlasing ofrajoritemsorsupplies <br />i�iC,Y�lA3olmd� t(,F�1'ra1i� On this _ day of 20 befoe <br />;,a <br />\cam 6 <br />e ap .d (Wane) <br />, e <br />to me personally knon, who, being duly h did exearte the <br />c. Son onoffield foregoing affidavit and did slate that he or she was ) <br />1 Mon _ 15Gi'r�tAY1/ }anpe1l au z� by (Name of firm <br />toexecute$reafHdavitanddd shisoha five act and dced. <br />Note: If; afterfifingthis Schedule Band before the counfalctfon ofthe <br />jo"ventne'swodconthe cmtradcavmdbydvsreguladon,d=is <br />any significant change in the it-fomiafion submitted, fiiejointventue <br />must inform the grantee, either directly or dnrough the prune <br />contactor if diejoint veilwe is a subomhwtor, <br />Affidavit <br />"flare undersigned swear that die foegoing statements are <br />correct and include all material information necessary to identify and <br />explain the terns and operation of our joircventwe and die intended <br />paacipaton by each joint venturr in the nuhdertalting Further, fine <br />undersigned covenant and agree to provide to grantee cuuenrt, <br />complete and accurate inforina ion regarding actual joint venture <br />wodc and thepaymerttherefore and arryfatuposed changes in arry of <br />die joint vehtue arangemerrts and to pennit the andrt and <br />exaniinaton of die books, records, and files of the joint venture, by <br />authorized rgnzseamnlives of the grantee or the Federal turfing <br />agency. Any material nnisquzsenlafion will be gourds for <br />tenninatnng ary contact which may be awarded and for initiating <br />action wide Federal or Stile laws concerning Use statancrrts.,, <br />Attachment <br />F -)M to -FR2 <br />5-077 <br />NolayPublic <br />[Sea]] �e(" <br />rMiP <br />On this _ day of 20 before me appeared <br />(Name to nhe personally known, who being sworn, did execute the <br />foregoing davit and did stile mt; he or she was property authorized by (Ivhame of firm) <br />exwutethe atfid,Mtaiddidso ashis orher free actanddeed. <br />[Seal] <br />TO BE INCLUDED IN BID PACI{AGE <br />BP 20 of 30 <br />