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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 14 -7540 <br />EL SALVADOR PARK IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF = LOS AV jk q�s: <br />_ CITY OOFF6ANTA°ANA XrW <br />_� � IT <br />! @ Y" , being . duly sworn, deposes and says: <br />❑ INDIVIDUAL That he /she is the party making the foregoing proposal: <br />❑ PARTNERSHIP That he /she is a member of the cc- partnership firm designated as: <br />and who has been and Is duly vested with the authority to make and execute <br />Instruments for the co- partnership by: <br />who constitute the other members of the co- partnership. <br />CORPORATION That he is of: A CI— C0 Ike <br />a corporation which Is making the foregoing proposal: <br />❑JOINTVENTURE That he is of: <br />one of the parties making the foregoing proposal as a joint venture, and the he /she has <br />been and is duly vested with the authority to execute instruments for an on behalf of <br />the parties making said bid who are: <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by <br />collusion to secure any advantage against the City of Santa Ana or any person interested in the <br />proposed con r ct for himself or any other person. <br />Signature of BIDDER <br />Subscribed and sworn to before me this A( /'4 day of LyRr 20 ) 5 <br />Signature of offic-1, Administering Oath (Notary Public.) <br />BP -7 of 17 <br />23A -20 <br />