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CITY OF ;SANTA ANA <br />SPECIFICATIONS - PROPOSAL <br />PROJECT140, 16-6849 <br />C'I:TYVVIDE CONCRETE IMPROVEMENT'S <br />111? A <br />OWN1",R� FFIDAYLIIC <br />STATE OF CAIAFCJRNIA ) <br />COUNTY OF ORANGE > SS: <br />CITY OF SANTA. ANA ) <br />____R110 being duly sworn, deposes and says: <br />[] INDIVIDUAL 'Etat he/she is the party making the Foregoing proposal: <br />�f PART'NERSHIP That he/she is a member of the co -partnership :Gran designated as: <br />and who has been and is duly vested with tics authority to make <br />and execute instrunients for the co -partnership by: <br />CORPORATION <br />[] JOINT VENTURE <br />who constitute the other members of the co -partnership. <br />lie <br />which is rnakhrg <br />That he is of: <br />foregoing, proposal: <br />one of the parties a,naking the foregoing proposal as a joint venture, <br />and the heJshe has been and is duly vested with the authority to <br />execute instruments for an on behalf of the parties making said bili <br />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 contract, r lu _.._., r any other person. <br />✓' e <br />SignrkYr,cre of Eii r <br />Subs ed and swo o before me this a_ day ofJ_..���_. _ . 2.01S <br />Sign tore of oflicer kering Oath(Notary Public;) � RACHEL DANIEL <br />comm)s•bn • 2030742 <br />° Nmary Powe - Csiftme <br />0 Los An" Cc" , <br />131'-7 <br />