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CTTY O SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15 -6843 <br />SAFE TRANSIT STOPS <br />OWNERSHIP AFFIDAVIT <br />S7 ATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY Ol^ SANTA ANA ) <br />Michael Pta rti inn._. � ��,bcing duly'swonr, deposes tmd says: <br />[,] INDIVIDUAL. That lveshe is the party making the foregoing proposal: <br />PART'NERSI -IIP 'I hit[ he/she is a member of the co- partnership star designated as; <br />and who has been and is dtdy vested vvith the authority to make and execute instruments <br />for thc co- partnership by: <br />who constitute the other members ofthe co- parntership, <br />Fk] CORPORATION That he is or. <br />President <br />it corporation which is making the foregoing proposal:��_ <br />❑ JOINT VENTURE That he is of: <br />one of the parties making the foregoing proposal its it joint venture, and the he/she has <br />been and is duty vested with the authority to execute insavments 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 />proposed con 'act,yr,'')hhrlf or an ther erson. <br />Signaturl of Bidder <br />Subscribed d swo n t before me this of April _ 20 J s � <br />Signahue of officer Administering Oath (Notary Public) <br />i�l[9C( ►1:111. <br />° Commission 7d 1 <br />a "t- w Notary Public - California <br />z ;r k-- <br />z Z, Orange County <br />My Comm. px as May 27, 2016 w <br />NO <br />