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CITY OF SANTA ANA <br />PROPOSAL, <br />PROJECT NO,: 16 -2665 <br />SECURITY LIGHTING AT (8) PARKS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA > <br />KeF-a� I SS: <br />SANTA <br />) <br />�CITY <br />v�ANA <br />�jOyF <br />being duty swear, deposes and says: <br />©INDIVIDUAL <br />That he/she is the patty mating the foregoing proposal: <br />❑ PARTNERSFHP <br />That he/she is a member of the co- partnership firm designated as: <br />and who has been acid 7 duly vested with the authority to make and execute instruments <br />for Cite co- partnership by: <br />who constitute the then members of the co- partnership. <br />CORPORATION <br />`5k"Qk <br />Thathuis of: / v .M ..� <br />°' et.Cllz�r_..�. -Q } t, .6'n.�t, ,n,.� v..�t?t.•(� L.a <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 a joint venture, and the he /she has <br />been and is duty 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 coltusive or sham, and has not in any planner sought by <br />collusion to secure any advantage against the City of Santa Ana or any person interested in the <br />pro7=51- <br />_.. for himself or any other person. <br />Signature of Bidder <br />Subscribed and sworn to before me this ai. r d- day of 20 <br />Signature of office/ Ad' mini Iering Oath (Notary Public) <br />VIRGINIA PINK <br />Commission M 2139014 <br />& -r' Notary Public • California a <br />z San Bernardino County <br />MX Comm. Ex Tres Jan 2, 2020 <br />P -6 of P -16 <br />20A -15 <br />