Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT 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 the foregoing proposal: <br />❑ PARTNERSHIP <br />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 instruments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />® CORPORATION <br />That he is of: <br />President of California Professional Engineering, Inc. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <br />That he is of: <br />one of the parties making the foregoing proposal as aioint venture, and the he/she has <br />been and is duly vested with the authority to execute instrmnents for an on behalf of the <br />parties 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 agnst the City of Santa Ana or any person interested in the <br />proposed cont act,/N f o�any/other person. <br />Signature of B <br />Subscribed and sworn to before me*this 3rd _ day of February 20 16 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />