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CITY OF SAN'T'A ANA. <br />PROPOSAL <br />PROJECT NO.: 14-7513 <br />PACIFIC ELECTRIC PARK <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITYOr SANT AN ) <br />being duly sworn, deposes and says: <br />❑ INDIVIDUAL That helshe is the panty making the foregoing proposal: <br />❑ PARINFASHI:P 'That helshe 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 instruments <br />for the co -partnership by <br />who constitute the other members of the co -partnership, <br />�CORPORATION That he is of ,resident of LEHMAN CONSTRUCTION, INC. <br />a corporation which is making the foregoing proposal, <br />❑ JOINT VENTURE That he is of: <br />one of the parties making the foregoing proposal as a joint venture, and the helshe 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 gen e d not collusive or sham, and has not in any manner sought by <br />collusion to sec e an adv ntage against, the City of Santa Ana or any person interested in the <br />propose o tr ct, fo i elf or any other person. <br />.3 <br />Si re Bidler <br />Subscribed and sworn to before me this day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />A notary pvbl1C or other officer completing this certificate verifies only the <br />identity of the individual who signed the document to which this certificate <br />is attached, and not the truthfulness, accuracy, 6r vahoily pf that document. <br />State of California <br />County of.� <br />SubscriWd and sworn to (of affirmed) before me this � day <br />proved to me en the brash <br />of satisfactory evir"', <br />be the persono who appeared before me. <br />Signature ���� (Sall <br />P-14 of P-24 <br />oe MARK V W. MASfi RS <br />NOTARY PUBLIC - CALIFORN A <br />COMMISSION # 2103987 <br />st ORANGE COUNTY <br />;ate, <br />�.Fars IVlyOamrrr. Exp, April 11, 2€119 <br />