Laserfiche WebLink
CITY OF SANTA ANA <br />PROJECT 13 -7516: MADISON PARK COMMUNITY GARDEN AND BASKETBALL COURT <br />PROJECT 10 -7564: GARFIELD STREET AT BROWN STREET PARKING LOT EXTENSION <br />PROJECT 13 -7512: MABURY PARK SECURITY LIGHTING <br />PROPOSAL AND CONTRACT AGREEMENT <br />9. Contr olofandpartieipationinthisoomad Idartifybyname,race, <br />sex, and "firm" dnoseindividuals (mndtheirtides)whoamresponsible <br />for day-to-day managanerrt and policy decision madang including Nameof firn Nameoffimi <br />butnothmwdm,ftsewtlhpiimerespo blityfor. <br />a. Financial decisions Signature Sig aun <br />b. Manages uart decisions, such as: <br />2.Maketi ngandsales <br />3. Hiring an d fning ofmanaganort <br />4. Putoing ofmajor if®ns or supplies <br />a Supervisionoffieldope ions <br />Note: If, after ftingdnis Schedule B andbefoethe mmple ion ofthe <br />jointve tan e' swod< ontheearnactcoveredbythisreguurtion ,diceis <br />any significant change in the infanidion submitted, the jointvenliue <br />must infomn the grantee, eidner din Wy or trough the prune <br />omwa=ifthejohtvartme is a akeatador. <br />Affdavit <br />"Ihe undersigned swear that the firegoing statan e s are <br />cared and include all material urfonnation nwessary to iden ify and <br />explain the tarns and operation of aujointventure and the intended <br />participation by each joint venhuer in the undertalang. Further, the <br />undersigned covenant and afire to provide to grantee curcn� <br />complete mid accurate information regarding actual joint verntue <br />work and the payrneritiberdow and any proposed charges inmyof <br />U joint venuue urmnganeWS and to permit the audit and <br />rumination of the books, nxmds, and files of dnejonrt vantne, by <br />aW to ized retmenlalives of fine grantee or the Federal finding <br />ding <br />agency. Any material misrepresentation will be grounds for <br />temvnating arty contract which may be awarded and for initiating <br />aWonunderFedera lorStatelawsanceniingfalsesha anents:' <br />Attachment <br />Exhibit A -FR2 <br />8 -07 -97 <br />Name <br />Title <br />M <br />Name <br />Title <br />M <br />On trans day of 20, before me appeared (nazrne) <br />to me personally known, who, being duly sworn, did execute the <br />facgoing affidavit Rik did state drat he or she was pmperiy authorized by (Narre of fnn) <br />to execute the aidavit and did so as his other fire act and deed. <br />Comnnissionexpi es <br />[Seal] <br />Date <br />County of <br />On this day of 20, before me appeared <br />(Nmne) to me pasonelly IQnown, who being swam, did execute the <br />foregoing affidavit and did state drat he or she was properly audraized by (Name of fora) <br />toex kdoeaffidavitanddidsoashisorherfireactanddeed. <br />Notary Public <br />Commission expires <br />[sea] <br />BP 21 of 33 <br />TO BE INCLUDED IN BID PACKAGE <br />