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CITY OF SANTA ANA <br />PROPOSAL <br />Project No. 14-6801: McFadden Avenue from Newhope Street to Harbor Boulevard <br />Project No. 14-6804: Civic Center Drive from Main to Spurgeon Street <br />Project No. 14-6811: Memory Lane from Main Street to North City Limit <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />wuuam Ramirez <br />, being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />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 instruments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership, <br />0 CORPORATION <br />That he is of: <br />Eagle Engineering and Development Inc <br />a corporation which is making the foregoing proposal: <br />E] JOINT VENTURE <br />That lie 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 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 />colluion to secure any advantage against the City of Santa Ana or any person interested in the <br />proosed contract, for h't€lf or any other person. <br />Signature of Bidder <br />sworn to before me this day of 20 <br />(vvvl <br />(Notary Public) <br />JOVANA STEPHENSON <br />Commission * 1955660 <br />za <br />Notary Public - California i <br />$Sen Bernardino County <br />WW�UM�-- - Ex fres Oct 0, 2015 <br />] <br />BP -7 <br />