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CITY OF SANTA. ANA <br />PROPOSAL <br />PROJECT NO. 16 -4509 <br />SANTA ANA POLICE STATION SOUTH ENTRANCE SECURITY IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CAHFBRNM Idaho ) <br />COUNTY OF GRANGF I {ootenai ) SS: <br />CITY OF SA?FPA4,- ANACoear d'Alene) <br />Brenda Blood , being duly sworn, deposes and says: <br />iD INDIVIDUAL That lietshe is the Party making the foregoing woposal: <br />❑ PARTNERSHIP That he/she is a member of the co- parhiership firm designated as: <br />and who has been and is duly vested with the authority to looks and execute inshvrnents <br />for the co- parnrership by: <br />constitute the other nienrbers of the co- parhuersldp. <br />O CORPORATION That be is of: Perimeter Security Group LLC <br />which is making the foregoing proposal: <br />[D JOINT VENTURE That he is of <br />one of the Parties making the foregoing proposal as a joint venture, and the be /she has <br />been and is duly vested with the authority to execute instruments for an on behalf of the <br />patties snaking said bid who are: <br />that su It a bid is genuine and not collusive or sham, and has not in any manner sought by <br />collusio to secure any advantage against the City of Santa Ana or any person interested in the <br />In oposed ntract, for himself or any other person. <br />/Managing Member <br />Signature of Bidder <br />Sl 'ibed and sworn to before me this gilt day of September 2016 <br />// <br />Signature of officer Administering Oath (Notary Public) <br />N. <br />P -6 of P- 18 <br />23D -12 <br />