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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 16-6851 <br />Newhope, Civic Center and Grand Bike Lanes <br />OWNERSHIP AFFIDAVIT <br />P. • BOX 1368 <br />MWONT, CA. 94538-0136 <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA <br />IA I I b L i�6OI2 aNS , 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 co -partnership by: <br />who constitute the other members of the co -partnership. <br />CORPORATION That he is of: <br />F] JOINT VENTURE <br />a corporation which is making the foregoing proposal: <br />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 />co ion to secure any advantage against the City of Santa Ana or any person interested in the <br />ropo ed contract, for himself or any other person. <br />Signature of Bidder <br />Subscribed and sworn to before me this 30•ru day of J"`I 20 15 <br />Signa officer Administering Oath (Notary Public) <br />BP -6 <br />KELLY ILAR <br />Commission N 2069819 <br />z mm Notary Public - California <br />Alameda County <br />1)1 Comm. Expires Me 2, 2018 <br />