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CITY OF SANTA ANA <br />PROPOSAL <br />PROTECT NO.: 10 -6719 <br />TRAFFIC SIGNAL EQUIPMENT REPLACEMENT PHASE II- BIKE TRAIL TRAFFIC <br />SIGNAL UPGRADES <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS; . <br />CITY OF SANTA ANA <br />) <br />Van Nguyen <br />, being duly sworn, deposes and says; <br />❑ INDIVIDUAL <br />That he /she is the party making tho Foregoing proposal; <br />LJ PARTNERS1.11Y <br />That he/she is a member of the co•paRnerahip firm designated as: <br />and who has been and is duly vested with the authority to make and execute hiWaments <br />forthe co- partnership by; <br />who constitute the other members of the ca- partnership. <br />® CORPORATION <br />That he is of: <br />President of California Professional Engineering, Inc. <br />a corporation which is maldng the foregoing proposal; <br />El JOINT VEN'TUR'E <br />That he is of <br />one of the patties making die Foregoing proposal as ajoint venture, and the he/she bas <br />been and Is duly vested with the authority to execute instruments for an on behalf of the <br />porales making said bid who are: <br />that such a 'bid is genuine and not c llusive or sham, and has not In any manner sought by <br />collusion to secure any advantage ag mst the City of Santa Ana or any person interested in the <br />proposedoon%act,/fhl s £oiianyotherpctson. <br />Signature, of <br />Subscribed and sworn to before mo this 3rd day of February 20 16 <br />Signature of officer Administering Oath (Notary Public) <br />P -6 of P -1.6 <br />23A -15 <br />