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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 />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Fouad Houalla , being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ 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 />M CORPORATION That he is of: President <br />a corporation which is making the foregoing proposal: <br />❑JOINT VENTURE 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 Xanst <br />ve or sham, and has not in any manner sought by <br />collusion to secur ny advantaghe City of Santa Ana or any person interested in the <br />proposed cbn; ct, fo imself or person. <br />Signature/of Bidder <br />me this 30th <br />day of November 20 15 <br />(Notary Public) <br />BP -7 of 17 <br />w <br />SHELLY JEAN IRVINE <br />:Commission # 2018404 <br />h k_ Notary Public -California n <br />Orange County <br />,'e Expires Apr 7, 201 <br />