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55E - RESO - AGMT - DEPOSITORY SRVS
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55E - RESO - AGMT - DEPOSITORY SRVS
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Last modified
12/1/2016 5:01:03 PM
Creation date
12/1/2016 4:49:35 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Finance & Management Services
Item #
55E
Date
12/6/2016
Destruction Year
2021
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ATTACHMENT 2 <br />PROPOSER'S SIGNATURE SHEET - RFP No. 16 -111 <br />All Proposers must complete and sign this section. Failure to complete and sign this section <br />will result in rejection of this submission. <br />Name of Proposer: <br />Address: <br />Telephone: <br />Type of Business: <br />Fax: Email <br />[ ] Corporation <br />[ ] Limited Liability Company <br />[ ] Partnership <br />[ ] Co- Partnership (attach Co- Partnership Agreement) <br />[ ] Individual doing business under own name <br />[ ] Individual doing business using a firm name <br />[ ] Joint Venture (attach Joint Venture Agreement) <br />[ ] Other (describe) <br />Tax I.D. Numbers - Federal <br />To the City of Santa Ana: <br />State <br />The undersigned, as Proposer, certifies that the only persons or parties interested in this <br />submission as principals are those named herein as Proposer; that this submission is made without <br />collusion with any other person, firm or corporation; that the Proposer has examined all terms, <br />conditions, and requirements set forth in the Request for Proposals; that the Proposer agrees that <br />if this submission is accepted, the Proposer will execute and fully perform the Agreement for which <br />submissions are called; that the Proposer will perform all the work and /or furnish all the materials <br />specified in the Agreement, in the manner and time therein prescribed, and according to the <br />requirements as therein set forth; and that the Proposer will take in full payments therefore, the <br />prices set forth in the attached schedule. <br />Please Print Name and Title <br />Signature <br />Address (if different from above): <br />City of Santa Ana — Banking Services Page 24 <br />55E -58 <br />
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