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CITY OF SANTA ANA <br />Project 13-6797 Maple Bike Trail Safety Enhancements At <br />Occidental Street, St. Andrew Place, and St. Gertrude Place; CM -5063(149) <br />PROPOSAL AND CONTRACT AGREEMENT <br />9. C kel of and putic*c n in flys wnhact Identify by name, <br />(Name) to me personally lhurwq who bang sworn, did exeaate the <br />and eplaun fine tans and cpaatim of our joint ventre and dr <br />lava, sex, and '*if' Aim L1dMduafs (ato fim Wes) who are <br />intended parftopatim by ewb joint vanhm� in fine unndertalcung <br />kwgo pope Y by (N ) <br />affidavit t and did slake fiat } e or she was 1 aullxxiz d an of fun <br />respcanble fu � day -today nxanapmr: and policy damon <br />NaraeofFiun <br />NaneofFimn <br />mating mdedmg but not bur d to, flnose wide prirre <br />vent= work and thepa}nnnrtfinaefineandaiypmposedcbmW <br />NotayPubhc <br />reslronabrldyfor <br />sulakne <br />Sg alae <br />aFivancialdecis m <br />audimzed represcriabrocs of the grantee cr the Feded Inndnag <br />1W <br />agawy Any rnstaial numpresantation wM be grounds fcr <br />Name <br />Name <br />h Marnern>entdedscrA sachas: <br />T fle <br />Tide <br />1. Estimating <br />Dffie <br />Date <br />2. Mai<etiugandsales <br />I* <br />Shteof <br />3. Flirmga d fningo&nnanageanxirt <br />Connntyof <br />4.Pmdv nngofi*orifecmorsupphm <br />On the <br />— day of 20� before me appeared (nanr) <br />ID me p 19AY lmown, who, being duly sworn, did execute the <br />foregoing affidavit and did slate drat be or she was Mperiy auffnized by (Name cf fun) <br />c. Supervnenoffieldopaations <br />bo ecutetbeaf'idavitaddidso ashisorherfrceadanddwI <br />NotayRblic <br />Note: Ii; aka ft dus Sdiodrde B and before fine completion of <br />Corin ssleo Whcs <br />flnejoutvailurCswmm1hemitadcwaedb ftregrl M4 <br />diene is any sign6 mt &mw m die infemn om abivftzd, the <br />� ) <br />jointved= must mfwmdnegrarFee,adud¢edlycrduu#the <br />Duro <br />lxvnecamacfm ifdnejouitver#= isasubw nVactor <br />Sta(eof <br />Af"" <br />Camiyof <br />'Tv undersigned swear float flee f -eg* statnern s are <br />On dos <br />— da of 20_, befae me appeared <br />coned and include all rnabe ial irdiximbon neczssay to iderofy <br />(Name) to me personally lhurwq who bang sworn, did exeaate the <br />and eplaun fine tans and cpaatim of our joint ventre and dr <br />intended parftopatim by ewb joint vanhm� in fine unndertalcung <br />kwgo pope Y by (N ) <br />affidavit t and did slake fiat } e or she was 1 aullxxiz d an of fun <br />Findma, the umda9gned covenant and agree to provide to grantee <br />tnexec&the afidavitanddidso as his orherfieeadand deed <br />amart, amynlete and aca;unate mfomstion regarding a&" joint <br />vent= work and thepa}nnnrtfinaefineandaiypmposedcbmW <br />NotayPubhc <br />in any ofdnejointventareananganenisand topamrtdie auditand <br />Coirnnmonexpires <br />e nmiatim of ff ebooks, uecads, and files ofthe jointve n6se,by <br />audimzed represcriabrocs of the grantee cr the Feded Inndnag <br />1W <br />agawy Any rnstaial numpresantation wM be grounds fcr <br />tarnirrating ary omaid whidn may be awarded ad for initiating <br />action underFederal or Stak laws carcerning false slcaneriW' <br />Attachment <br />ExhHA FR2 <br />8-07-9"/ <br />BP 16 of 26 TO BE INCLUDED IN BID PACKAGE <br />