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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 15-6840: WARNER AVENUE PAVEMENT MAINTENANCE <br />PROJECT NO. 16-6858: FIRST STREET PAVEMENT MAINTENANCE <br />OWNERSHIP AFE)DAVIT <br />/S�TAAT},E 'OF CALIFORNIA 5 )\ G�C� <br />COUN71.tJ1'VI�lTIVV iVBY$iGk )ss: <br />being duly sworn, deposes and says: <br />Ej INDIVIDUAL That he/she is the party snaking the foregoing proposal/ <br />[] PARTNERSHIP That lielshe is a metllber of the co-partnershi f ni designated im <br />and Nvllo has been and is duly v s with the authority to make and execute instruments <br />ft)r the co -partnership by: ft <br />who constitute the er members of the co -partnership. <br />M"CO10ORATION That he is of <br />a corporation which is making the foregoing proposal: <br />® JOINT' VENTURE That he is of <br />one of the parties leaking the fore ing proposal as a ,joint venture, and the he/she has <br />been and is duly vested wit tl uthority to execute instruments for an oil behalf of the <br />parties making said bid wh ar . <br />that such a bid is genuine and not collusive` or sham, and has not in any manner sought by <br />collusion to secure any advantage against the City of Santa Ana or any person interested in the <br />proposed contract, for himself or any other person. <br />Signal t•e of Biddm�� 1� <br />Subscribed and sworn to before rile this „ day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-7 ofP-17 <br />