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CITE' OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.; 16-2667 <br />SANTIAGO BIKE TRAIL RESURFACING <br />OWNERSHIP AFFIDAVIT <br />STATE. OP CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF S0440POOirtr <br />Perris ) <br />Teff Nelson , being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the party making the foregoing proposal: ,,,,.•" <br />❑ PARTNERSHIP <br />That he/she is a member of the co -partnership firm designated <br />and who has been and is duly vest the authority to make and execute instruments <br />for the co -partnership by: „,11-' <br />avh6 constitute the other members of the co -partnership. <br />CORPORATION <br />That he is of'. <br />NPG, Inc. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <br />That he is of: <br />one of die parties making the fc <br />been mid is duty vested with the <br />parties making said bid wllo are <br />,oeaal ii; a joint venture, and the he/she has <br />execute instruments for an an behalf of the <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by <br />collusig to secure any addvar��against the City of Santa Ana or any person interested in the <br />propg e contraj�va <br />t, for hir f or any other person. <br />Jeff Nelson, President <br />Subscribed and sworn to before me this <br />of <br />Signature of officer Administering Oath (NKary Public) <br />P-7 of P-17 <br />co <br />