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CITY OF SANTA ANA <br />PROPOSAL <br />Project No. 13-2638: Portola Park Improvements (Parking Lot, Basketball, Tennis Court <br />Renovation) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />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 Finn designated as: <br />and who has been and is duly vested with the authority to make and execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />�CORPMATION That h isoP <br />a corporation which is making the foregoing proposal: <br />❑ SOINT VENTURE That he is of: <br />one of the parties making the foregoing proposal as ajoint venture, and the he/she has <br />been and is duly vested with the authority to execute instruments for an on behalf of the <br />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 contras, for himself or any other person. <br />Subscri?i d a d sworn ore me this fS r day of ,Ij�� 20 1S <br />Signature of officer Administering Oath o ry Public) <br />