Laserfiche WebLink
CITY OF SANTA ANA <br />PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST <br />PROPOSAL AND CONTRACT AGREE <br />9. Control of and pauticipiiition m this contract. Identify by came, <br />rev, sex, and "&&' fliose mdivllards (acrd diett titles) wlto me <br />responsible for cl<ay-today nkukrgaiaart and poky decision <br />nkalcn& including, but not Innited to, those m1i prime <br />resprmmbilityfor. <br />a.FinancWclecisions N/A <br />N/A <br />Nmne ofFllm Nam2of rm <br />SWmatue <br />4.Pui dmpgofuiajariiamorsupplies <br />c,Supavisionoffieldolmabons <br />Note: If, ,-& fifing fliis ScliedLiL B micibefae flie ccuiTletion of <br />fliejomtverilrue's wak otitlie conllract cowLxlbythis rugulatiai, <br />there is mry significant cdkange in flie irrfori ton simuttt=cl, flie <br />join[ venture unnt urtorn flie grantee, cubes (litmily orthroughtl)e <br />mine eonttaetor ifilie joust venhue is a subconi tnetcx. <br />Affidcmil <br />"flie umdasigied swem diat the foregoing stiwinents are <br />conect and include all material information ricc sTy to identify <br />and explain the terms and upxiation of our joint vonlrue mxlflie <br />intencled participation by each joint venturw in the tnda4aldng. <br />Frufl>er; theumdasigied coveriant and agree to provide to grantee <br />anent complete and iccu ate information regvdnig actual joint <br />v atmeworicmrdiliepaymentfliavfoiemidmrypmpceecicharges <br />iamyof &- jointvenhuemmWinents and to vuritihemuditand <br />mininalion of die books, records, and fits of tliejoirtvaitue,tiy <br />authorized iep etesentitrws of die grantee or lie Federal funchng <br />agarry. Any material misrepvesellation will be putnds for <br />taniukadrg mry contract whidi may be awarded and fa initiating <br />action underFedi or,%Ie lam, conc =iugfa sse slatesner6s." <br />Attachment <br />ExImbi(A FR2 <br />W -97 <br />Siwkahue <br />Name <br />On this _day of 20 befrne are app med (amore) <br />to im personally ImNvA vdio, being drily swoni, clid exociite die <br />fowguing affidaviC mid clid state that he of slue was pmpaiy audiouzed by (None of litm) <br />to exead die affidavit and clid so as his or her line out aid <br />deed <br />NolaryPubh <br />Conmtissionexpires <br />1103eal) <br />Date <br />Camityof <br />On finis dry of 20 Before nic ,fT)Mv'ri <br />(N,%1* tornepetsci tuillylmown ,whot-cingsvvcandidexxuL,die <br />foegoing affidavit mtd did state flint he or slie was piopaiy mrdini cd by (Name of fwn) <br />m execute die affidavit mxl clid sro as his orher five ad and deed. <br />NomiyAiblic <br />Commissionexpues <br />(ill <br />'PTM General Engineering Services Inc. is not bid as joint venture <br />TO BE INCLUDED IN BID PACKAGE <br />BP 17 of 27 <br />Name <br />b. N)<mWieutdecisions, sudias: <br />Title <br />I. Esitmitnig <br />Date <br />2.N1rukcfingandSates <br />D e- <br />Stiteof_ <br />3.I -Iidrg end f uuig ofnkauageotent <br />Coturiyof <br />4.Pui dmpgofuiajariiamorsupplies <br />c,Supavisionoffieldolmabons <br />Note: If, ,-& fifing fliis ScliedLiL B micibefae flie ccuiTletion of <br />fliejomtverilrue's wak otitlie conllract cowLxlbythis rugulatiai, <br />there is mry significant cdkange in flie irrfori ton simuttt=cl, flie <br />join[ venture unnt urtorn flie grantee, cubes (litmily orthroughtl)e <br />mine eonttaetor ifilie joust venhue is a subconi tnetcx. <br />Affidcmil <br />"flie umdasigied swem diat the foregoing stiwinents are <br />conect and include all material information ricc sTy to identify <br />and explain the terms and upxiation of our joint vonlrue mxlflie <br />intencled participation by each joint venturw in the tnda4aldng. <br />Frufl>er; theumdasigied coveriant and agree to provide to grantee <br />anent complete and iccu ate information regvdnig actual joint <br />v atmeworicmrdiliepaymentfliavfoiemidmrypmpceecicharges <br />iamyof &- jointvenhuemmWinents and to vuritihemuditand <br />mininalion of die books, records, and fits of tliejoirtvaitue,tiy <br />authorized iep etesentitrws of die grantee or lie Federal funchng <br />agarry. Any material misrepvesellation will be putnds for <br />taniukadrg mry contract whidi may be awarded and fa initiating <br />action underFedi or,%Ie lam, conc =iugfa sse slatesner6s." <br />Attachment <br />ExImbi(A FR2 <br />W -97 <br />Siwkahue <br />Name <br />On this _day of 20 befrne are app med (amore) <br />to im personally ImNvA vdio, being drily swoni, clid exociite die <br />fowguing affidaviC mid clid state that he of slue was pmpaiy audiouzed by (None of litm) <br />to exead die affidavit and clid so as his or her line out aid <br />deed <br />NolaryPubh <br />Conmtissionexpires <br />1103eal) <br />Date <br />Camityof <br />On finis dry of 20 Before nic ,fT)Mv'ri <br />(N,%1* tornepetsci tuillylmown ,whot-cingsvvcandidexxuL,die <br />foegoing affidavit mtd did state flint he or slie was piopaiy mrdini cd by (Name of fwn) <br />m execute die affidavit mxl clid sro as his orher five ad and deed. <br />NomiyAiblic <br />Commissionexpues <br />(ill <br />'PTM General Engineering Services Inc. is not bid as joint venture <br />TO BE INCLUDED IN BID PACKAGE <br />BP 17 of 27 <br />