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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 CA-kFeRM-A <br />Idaho ) <br />COUNTY OF GRANQP Kootenai ) SS: <br />CITY OF ° N.»�a,",�.�." '' ^ Coeur (I'Alene) <br />Brenda Blood <br />, 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 as: <br />and who has been and is duly vested with the authority to make and execute insh'uments <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />❑CORPORATION <br />That lie is of: <br />perimeter Security Group LLC <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <br />That he is of: <br />one of the parties making the foregoing proposal as a joint venture, and the he/she has <br />been and 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 shah, 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 />proposed ntract, for himself or any other person. <br />/Managing Member <br />Signature of Bidder <br />Su •ibed and sworn to before me this 91h day of September 2016 <br />C,vfo J I U0 f� <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-18 <br />