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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6871 <br />SAFE ROUTES TO SCHOOL ENHACEMENTS FOR KING ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(160) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNFY 01:ORANGL ) SS: <br />CI"IY OF SANTA ANA ) <br />Van Nguyen , being duly sworn, deposes and says: <br />El INDIVIDUAL ]-hit li&she is the parv, making the foregoing proposal; <br />El PARTNI:RSF11P 'thathe/she isa member ofthe co -partnership firm designated as: <br />and "ho has been and is dull vested with the authority to make and execute instiuments <br />hr the co -partnership by: <br />who constitute the other members of the co -partnership. <br />R1 CORPORATION IMI t he is ol`. <br />esident of California Professional Engineering, Inc. <br />a wm-oitioo which is nmking the foregoing proposal: <br />[—] JOIN"F VENTURE That he is oft <br />one of the parties making the foregoing proposal as a joint vemurc- and the he/she hos <br />been and is dulv tested with the authority to esecufe instruments for an on behali'of'the <br />parties making said bits 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 avantage against the City of Santa Ana or any person interested in the <br />proposed contract, fo�hilnatf't)>jayy other person. <br />Signature of Bidder <br />Subscribed and sworn to before me t1 s day of <br />Signature of officer Administering Oath (Notary Public) <br />P-7 of P-17 <br />23A-20 <br />20 _ <br />