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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 membm 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- pminenship. <br />JXJ CORPORATION That he 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 />