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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6870 <br />SAFE ROUTES TO SCHOOL ENHANCEMENTS FOR HENINGER ELEMENTARY <br />STATE PROJECT NO: ATPD 5063(159) <br />OWNERSHIP AFFIDAVIT <br />SPATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA - _) <br />Vail Nguyen , being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party malting the foregoing proposal <br />❑ PARTNERSHIP That he/she is a member ofthe co-paromrship firm designated as: <br />and teho has been and is duly vested with the authority to make and execute instruments <br />rot the co -partnership by: <br />who constitute the other members of the co -partnership. <br />CORPORATION That he is of: <br />.President cLCaifnrnin Prrifpcsinnnl Fnniinee:ring, Inc <br />a ctopm ation which is making the foregoing proposal: <br />❑.IOINT V FNTURE That he is o@ <br />one of the parties making the foregoing proposal as a,joint venture, and the he/she has <br />been and is duty vested with the authority to execute instruments for an on behalf of the <br />parties makingsaid bid who are: <br />that such a bid is genuine and not collusive or sham, and has not in any manner sought by <br />collusion to secure advanta>e against the City of Santa Ana or any person interested in the <br />proposed contra�t, br himself orrny other person. <br />Signature of Bidder <br />I <br />Subscribed and sworn to before me tl is day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-7 of P-17 <br />