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23B - PROJ - SAFE ROUTES MONTE VISTA ELEM
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23B - PROJ - SAFE ROUTES MONTE VISTA ELEM
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Last modified
10/13/2016 2:55:13 PM
Creation date
10/13/2016 2:49:14 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
10/18/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO,: 16-6873 <br />SAFE ROUTES TO SCHOOL ENHACEMENTS FOR MONTE VISTA ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(163) <br />OWNERSHIP AFFIDAVIT <br />STA'L'E OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />William B. Davenport, Exec. VP, CFO, Trees. being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNMSHIP That he/she is a membra of the co -partnership firm designated as: <br />and who has been and is duly vested with the authm'ity to make and execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co-pminenship. <br />JXJ CORPORATION Thathe is of: <br />KDC Inc., dba Dynalectric <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE 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 duly vested with the authority to execute instruments for an on behall'of the <br />parties making said bid who are: <br />that such a bid is gcnuine d not collusive or sham, and has not in any manner sought by <br />collusion to secure any antage against the City of Santa Ana or any person interested in the <br />proposed contract, fo itself or any other person. <br />Signature o Iddei William B. Davenport, Exec. VP, CFO, Trees. <br />Subscribed and sworn to before me this day of . 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-7 of P-17 <br />23B-21 <br />"Please See Attached Jurat <br />
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