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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT N0. 14-6799; New Traffic Signal on Newhope St and Camille St <br />PROJECT NO. 146800: Traffic Signal Modification on Segerstrom Ave and gear St <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE jSS: <br />CITY OF SANTA ANA ) <br />Elizabeth H. Mendoza de McRae, , being duly sworn, deposes and says: <br />ā¯‘INDIVIDUAL That he/she is the party making the foregoing proposal: <br />El 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 />sh <br />®CORPORATION That hes of: <br />President/CFO of PTM General Engineering Services Inc <br />a corporation which Is making the foregoing proposal: <br />ā¯‘JOINTVENTURE 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 s e a bid is genuine and not collusive or sham, and has not in any manner sought by <br />collusl to secure any advantage against the City of Santa Ana or any person interested In the <br />P r ontract, for himself or any other person. <br />Elizabeth H. Mendoza de McRae <br />President/CFO <br />Signature of Bidder <br />Subscribed and sworn to before me this day of 20 _ <br />Signature of officer Administering Oath (Notary Public) <br />13r -s <br />