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FULL PACKET_2016-11-15
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FULL PACKET_2016-11-15
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11/14/2016 10:36:42 AM
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11/14/2016 10:12:50 AM
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Date
11/15/2016
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CITY OF SANTA ANA <br />PROPOSAL. <br />PROJECT NO.: 16 -2667 <br />SANTIAGO BIKE TRAIL RESURFACING <br />OWNERSI3IP AFFIDAVIT <br />STATE OP CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OFS,WAR0r04h' Perris ) <br />_ leff Nelson , being duly sworn, deposes and says: <br />❑ INDIV.n7UAL That he/she is the party making the foregoing proposal: <br />El PARTNERSHIP That ho /she is a member of the co- partnership Inn designated q5.- . <br />and who has been and is duly veVl vo'rtri the authority to make and execute <br />for the co- partnership by:._—. - <br />�,,/ AvIT6 constitute the other members of the copartnership. <br />u CORPORATION That be is of: <br />NPGJ Inc._ _`_ <br />a corporation which is making the foregoing proposal: <br />JOINT VENTURE That lie is of <br />one of the parties making the R <br />been and is duly vested with the <br />parties making said bid Nyhoxire" <br />a isal —A a joint venture, and the he/she has <br />execute intrainonts for an on behalf of the <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by <br />collusive to secure any adva against the City of Santa Ana or any person interested in the <br />pro,00 contr t, for li. n f or any other person. <br />Sign of B' r Jeff Nelson, President soti% <br />Subscribed and sworn to before me this <br />of 20 <br />Signature of officer Administering Oath (N ary Public) <br />P -7 of P -17 <br />20B -16 <br />
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