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CITY OF SANTA ANA RE -BID <br />PROPOSAL <br />PROJECT NO. 16 -7523 <br />WASHINGTON SQUARE RESIDENTIAL STREET REPAIR <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />)SS: <br />CITY OF SANTA ANA <br />) <br />JOSEPH A NANCI <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- parmership. <br />CORPORATION <br />That he is o£ EBS GENERAL ENGINEERING INC <br />a corporation which is making the foregoing proposal: <br />❑ .JOINT VENTURE <br />That he is of <br />one of the parties malting the foregoing proposal as a joint venture, and the he /site has <br />beetr 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 />collusion to secure any advantage against the City of Santa Ana or any person interested in the <br />pro pos contract, for himself or any other person. <br />Signat e o. Bidder <br />Subscribed and sworn to before me this 23 day of 12 2015 <br />Signature of officer Administering Oath (Notary Public) <br />P -6 of P -25 <br />23A -19 <br />