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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2668 <br />RIVERVIEW, CABRILLO & WINDSOR COURT RESURFACING <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Phil fartpr , being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />❑ PARTNERSHIP <br />ICORPORATION <br />[I JOINT VENTURE <br />That he/she is the party malting the foregoing proposal: <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 mrd execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co-parhiership. <br />That he is of: <br />Parifir Tpnnis (bnrte Inc. <br />a corporation which is <br />That he is of: <br />the foregoing proposal: <br />one of the parties making the foregoing proposal as ajoint 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 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 />proe ontra for hlinself or any other person. <br />ig e of Bidder <br />Subscribed a o�efo e me this (5:3 day of M) }f7 20J( <br />Signat officer Administering Oath (Notary Public) <br />'C& COA00pipiL <br />0Vorl &-, '-;;,ect.t <br />P-7 of P-17 <br />