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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 malting the foregoing proposal: <br />❑ PARTNERSHIP <br />That he/she is a member of the co -partnership firni 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 />CORPORATION <br />That he is of: 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/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 sbam, 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 />propose contract, forhimself or any other person. <br />Signa e of 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 />