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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO, 14-7540 <br />EL SALVADOR PARK IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT a <br />STATE OF CALIF� <br />COUNTYOF ORNIA LLS <br />CITY OP5ANT-A-"A XrL.;,&,I� ) <br />_, A k/ Q�: L 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 co -partnership firm designated as: <br />and who has been and Is duly vested with the authority to make and execute <br />instruments for the copartnership by: <br />who constitute the other members of the co -partnership. <br />CORPORATION That he is of: A cl� C1) 'fir — <br />a corporation which Is making the foregoing proposal: <br />©JOINT VENTURE 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 cont for himself or any other person. <br />Signature of BIDDER <br />Subscribed and sworn to before me this +fi?day of 20 <br />Signature of office Administering Oath (Notary Public) <br />BP -7 of 17 <br />11 -1V <br />t � „� � `�� '� � � 9• r °C'ir 11 <br />