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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-1305 <br />31m AND BUSH RESTROOM <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />r-� <br />�Mr ��`kr��"•'���s , being duly sworn, deposes and says: <br />[]INDIVIDUAL That he/she is the party malting the foregoing proposal: <br />I r' <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 instrut <br />for the co -partnership by: ,,vkc: Cs go,- ��\�-,�•{i 5u° \i-f<'SSC4:•-+-fit,\� <br />who constitute the other members of the co-parhlership. <br />J..CORPORATION Thatp is ' of: tiDVNM °`'c ( -k C <br />C <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE That he is of: ' `l" ^-1 <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 the <br />parties making said bid who are: <br />that such a bid is genuiri and not collusive or sham, and has not in any manner sought by <br />collusion to secure an, dvantage against the City of Santa Ana or any person interested in the <br />proposed contra self or any other person. <br />Signatur der <br />cp- <br />Subscribed nd sworn to before me this day Mirf-V 20 ��' <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />