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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 14-7514 <br />SANTA ANITA PARK IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE )SS. <br />CITY OF SANTA -ANA QFC' re' ) <br />)ovw 0 lam - p'I f'ytJ ey-6 curl , being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP <br />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 <br />That he is of: Green Giant Landscape, Inc. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <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 />c Sion to secure any advantage against the City of Santa Ana or any person interested in the <br />prop ed contract, for himselfor any other person. <br />Signature of <br />Subscribed and sw re is ni "1 day of Uh& 20 <br />. tba"'4.104 <br />ROSIE TOLEDO-HENDERSON <br />Signa : re icer istering Oath (Notary Public) flCOMM.)i2086732NOTARY PUSLIC•CALIFORNIA\� "LOS ANOELES COUNTY <br />'A51 <br />j MY COMM. E%P• NOW iEYOiE <br />