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23A - PROJ - WALNUT PUMP STATION
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09/20/2016
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23A - PROJ - WALNUT PUMP STATION
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Last modified
9/15/2016 4:39:14 PM
Creation date
9/15/2016 4:18:55 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
9/20/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 11 -6412 <br />WALNUT PUMP STATION BUILDING UPGRADE <br />OWNERSHIP AFF'IDAVfP <br />STATE, of CALIFORNIA <br />COUNTY OF ORANGE <br />CITY OF SANTA ANA <br />Ali Yazdanshenas <br />❑ INDIVIDUAL <br />❑PARTNERSHIP <br />E. CORPORATION <br />) <br />SS: <br />) <br />, being duly sworn, deposes and says: <br />That he /she is the party making the foregoing proposal: <br />That he /sire is a member of the copartnership firm designated as: <br />and who has been mid is duly vested with the authority to make and execute instruments <br />for the co- partnership by: <br />who cmatihtte the other members of the co- partnership. <br />TMtn lie <br />azt ngineering Contractors, Inc. <br />a corporation which is making the foregoing proposal: <br />El JOINT VENTURE That he is of <br />one of the patties making the foregoing proposal as ajohntventure, and the hefshe has been <br />and is duly vested with the authority to execute instruments for an on behalf of the parties <br />making said bid who arc: <br />that such a bid is genuine and notcoltusive or sham, and has not in any manner sought by collusion <br />to secure any advantage against the City of Santa Ana or any person interested in the proposed <br />contract, for himself or any other person. <br />Signature of Bidder Ali Yazdanshenas/ President Artnaz engineering Contractors <br />Subscribed and sworn to before me this gy of 20 <br />Signature of officer Administeri� ni (Note a Public) <br />P -7 of P-17 <br />23A -13 <br />
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