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23A - PROJ - SA STADIUM CONCRETE REPAIR
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01/19/2016
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23A - PROJ - SA STADIUM CONCRETE REPAIR
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Last modified
1/14/2016 4:55:30 PM
Creation date
1/14/2016 2:02:55 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
1/19/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 16 -2656 <br />SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />i SS: <br />CITY OF SANTA ANA <br />) <br />Fouad Houalla <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 <br />Instruments for the co- partnership by: <br />who constitute the other members of the co- partnership. <br />INCORPORATION <br />That he is of: president <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 collpsNe or sham, and has not in any manner sought by <br />collusion to secure l advantage a nst the City of Santa Ana or any person interested in the <br />proposed cbnjr�t, fo imself or ny other person. <br />:.•- <br />Subscribe and s orn to bef To me this 3oth day of November 20 16 <br />Sign of le dministering Oath (Notary Public) <br />z °r art <br />BP -7 of 17 <br />23A -16 <br />SHELLY JEAN IRVINE <br />Commission # 2016404 <br />Notary Public - California n <br />Grange County p <br />My Comm. Expires Apr /. 20' g <br />
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