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CITY OF SANTA ANA PROPOSAL PROJECT NO. 09-3213 CENTENNIAL PARK NEIGHBORHOOD WATER MAIN IMPROVEMENTS OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA ) r"� rt99 C'A b. r , being duly sworn, deposes and says: INDIVIDUAL That he/she is the party making the foregoing proposal: PARTNERSHIP That he/she Is a member of the co -partnership firm designated as: that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed contra ; for him If or any other person. Signature of Bidder Subscribed and sworn to before me this --2� 4` day of -F e,16 20 d Signature of officer Administering Oath (Notary Public) P-fi of P-15 SUNGHYE Y. KlM o t;pM M. 41984924 � X. 'Z Notary Public - California ro Orange County M Comm, Ex fres Jul 13, 2016 and who has been and Is duly vested with the authority to make and execute Instruments for the co -partnership by: who constitute the other members of the co-partnership. CORPORATION That tie Is of: e S I C/ . ,f �A a corporation which is making the foregoing proposal: [ JOINT VENTURE That he is of: one of the parties making the foregoing proposal as a joint venture, and the he/she has been and is duly vested with the authority to execute Instruments for an on behalf of the parties making said bid who are: that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed contra ; for him If or any other person. Signature of Bidder Subscribed and sworn to before me this --2� 4` day of -F e,16 20 d Signature of officer Administering Oath (Notary Public) P-fi of P-15 SUNGHYE Y. KlM o t;pM M. 41984924 � X. 'Z Notary Public - California ro Orange County M Comm, Ex fres Jul 13, 2016