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CITY OF SANTA ANA <br />PROJECTR <br />. 16-6467 <br />ry <br />PROPOSAL <br />'Y. T ONE JULY f <br />S-1 A tl_t)F CALIFORNIA ) <br />('01INTY OF ORANCil". ) SS_ <br />C1 I OF SANi-A ANA t <br />D tNDI VIOUAt. iflat he"she is lite Isarrly making the larregnittg pmlx Nil: <br />C] PA7d'INERS}IIP 111an ttcyshe is a member or else ca-parterm bip firm dasggrwted as: <br />lend WtNn tbati tax"ii aftl <br />is dul)' Yesled wi'dt the tnlhurityW tit mai-v° Pntd excA,,utc insitattH;tnis <br />for Ilia co -partnership by; <br />tvlto rratrditrtu lin. otlnr ratcxntaceS of ttte W"prtnaa 1-11 -p-, _...... <br />l CORPORA'I ION rbm lie is al? <br />a 1k97poR dan -, iIiCh Is making the foreppia g projw kk <br />[j JC14N-1V1 7N I1jul: 111 i tic is of., <br />orr4 or lire pndiv% making cite fere-ring prraFinal as a joint vcalharc. and tita hel'she I'Las <br />hews sad is dtnly scstvct vmittt t.tte amth®ritp tat esmcute InsItfli Ams Jbr an on iwhalEaEt€tc <br />parties rn URg said bid wlw avec <br />that suede a bid is gelluirle and not collusive or share, and has not its any manner sought by <br />collusion to Secure any advantage against the City csf Santa Ana or any person interested in the <br />voscdd c iti rat, for liiltlself or any ofhcr flersols. <br />Signature of44utid6 -- A <br />Subscribe' ale worn to before me this day of �G <br />Signature of offlcer Administering Oath (Nolaary I'alhl"rc ) <br />City of Saha Agro i Project 166467 Santa Aiio f8 C. „t a .l Diversion Project 13T81i7 - 0atApr 7, 2016 <br />