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CITY OF SANTA AN <br />PROPOSAL <br />PROJECT NO.: 16-2671 <br />BOMO KORAL SIDEWALK RENOVATION <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY" OF S*i+P*-AW* Placentia ) <br />Ronnie Cochran , being duly sworn, deposes and says: <br />INDIVIDUAL That he/she is the party making the foregoing proposal: <br />[ PARTNERSHIP 'Chat he/she is a member of the co -partnership firm desipated ss: <br />and who has been and is duly vested with the authority to inalce and exoci to histikimonts <br />for the oo-partnership by: <br />who constitute the other members of the cn-Isartuership, <br />M CORPORATION That he is of <br />c atate cans c o ------------------- <br />v, <br />- --- -- <br />a oorporation which is malting the foregoing proposal: <br />,POINT VENTURE That he is of: <br />one of tho paa:ties malting tho foregoing proposal as a joint venture, and the he/sho has <br />bee« and is duly vested with the authority to execute instruments for an on behalf of the <br />parties mAing said bid who are: <br />that such a bid is genuine aW int collusive or sham, and has not in any maturer sought by <br />collusion to seclue ally aclvanuge against the City of Santa Ana or any person interestod in the <br />proposed contract, for himself or any other Person. <br />Signature <br />Subscribed and swoi o before me this clay of � 2-�-�- <br />Signatme of officer <br />(Notary Public) <br />23AP-3 <br />