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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2651 <br />CIVIC CENTER RE -CAULKING EXPANSION JOINTS AT PLAZA OF THE FOUNTAINS <br />AND PLAZA OF THE FLAGS <br />10]1DI0 li��Y <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF <br />9SANA ANA ) <br />/� k 1 V(.� P if ���/ , being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP 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 That he is of: <br />9 - 7rP-w5ft&hjTz <br />a corporation which is maVng the foregoin p posal: <br />❑ JOINT VENTURE That he is of: <br />one of the parties making the foregoing proposal as a joint venture, and the he/sire 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 we: <br />that such a bV is genuine and opt collusive or sham, and has not in any manner sought by <br />collusiop to s cure any advantag against the City of Santa Ana or any person interested in the <br />prop ed cont ct, for himself, any other person. <br />Subscribed and sworn to before me this — 4� *. day of 1(// 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />