My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
23A - PROJ - CROSSWALK UPGRADES
Clerk
>
Agenda Packets / Staff Reports
>
City Council (2004 - Present)
>
2017
>
05/16/2017
>
23A - PROJ - CROSSWALK UPGRADES
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/11/2017 3:53:16 PM
Creation date
5/11/2017 3:44:26 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
5/16/2017
Destruction Year
2022
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
62
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.; 15-6931 <br />CROSSWALK UPGRADES - PHASE 1 <br />FEDERAL PROJECT NO: HS1PL 5063(155) <br />OWNERSHIP AFFIDAVIT <br />STATE' OP CALIFORNIA ) <br />COI IN I Y OF HR;tNt'rF. %oSgrkst� -SS: <br />C'I:ll'01'.1?kF,4_ConsPT�d ) <br />being duly sworn. deposes and says: <br />❑ INDIVIDUAL That he /she is the party making the foregoing proposal: <br />❑ I'.ARTNERSI HP 'I hat he/she is a member of the co- parmership firm desigualed 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: <br />a corporation which is making the Ibregoing proposal: <br />❑JOINT VGN ruRE' That he is of <br />one of the parties making the foregoing proposal as a joint venture. and the he/she 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 genuine and not collusive or sham, and has not in any manner sought by <br />collusion to secur any advantage against the City of Santa Ana or any person interested in the <br />proposed cotAact�1for himself or any other person. <br />V q <br />Subscribed an sworn to before me this 1 day of f L 20 `� <br />Signature of officer Administering Oath (Notary Public) <br />f........, HF6ROlDr4.41TOfNAKItI <br />I. q CdMM. f} 2019185 <br />�'� NOTARY PUUkIC •CALIFORlNA <br />LOS ANGELES CCUNTY ^� <br />Comm, Fxp. MAY 8, 2017 <br />Notarial Certificate <br />Attached <br />23A -14 <br />P -8 of P -40 <br />
The URL can be used to link to this page
Your browser does not support the video tag.