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23A - PROJ - PED IMPROVEMENTS SA BLVD
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12/20/2016
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23A - PROJ - PED IMPROVEMENTS SA BLVD
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Last modified
12/19/2016 10:33:08 AM
Creation date
12/15/2016 4:14:27 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
12/20/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROTECT NO.: 17-6888 <br />PEDESTRIAN IMPROVEMENTS ON SANTA ANA BOULEVARD <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Steve Kirschner , being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />PARTNERSHIP That he/she is a member 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 -partnership. <br />Q CORPORATION That he is of: _ <br />Vice President of Hardy & Harper, Inc <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 mid is duly vested with the authority to execute instruments for an on behalf of the <br />parties making said bid who are: <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by <br />0 <br />ollusio1l to ecure an duantage against the City of Santa Ana or any person interested in the <br />propo n r him or any other person. <br />Signature of Bidder Steve Kirschner -Vice President <br />Subscribed and sworn to before me this _T day of _ 20 — <br />Signature of officer Administering Oath (Notary Public) <br />P-8 of P-18 <br />23A-15 <br />
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