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23B - PROJ - WARNER WATER AND SEWER IMPROV
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05/17/2016
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23B - PROJ - WARNER WATER AND SEWER IMPROV
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Last modified
5/12/2016 11:36:15 AM
Creation date
5/13/2016 8:51:14 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
5/17/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 16 -6461 <br />WARNER INDUSTRIAL COMMUNITY WATER AND SEWER IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE Or- CALIFORNIA ) <br />COUNTY OF ORANGE ISS: <br />CITY OF SANTA ANA j <br />being duly sworn, deposes and says: <br />INDIVIDUAL That he /she is the party making the foregoing proposal: <br />El 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 />CORPORATION That he is of: <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 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 />proposed contract, for himself or any qt er person. <br />Signature of Bidder <br />Subscribed and sworn to before me this I r( day of 20 <br />'���'7�r: � =,tee;: v;rc3�,c:�1•. <br />Signature of officer Administering Oath (Notary Public) <br />P -8 OF P -17 <br />x o'R64Uiti:GlEFtt <br />23B -14 <br />
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