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CITY OF SANTA ANA <br />PROPOSAL, <br />PROJECT NO. 11-6740: BRISTOL STREET IMPROVEMENTS AND WIDENING FROM <br />WASHINGTON AVENUE TO 17Tf1 STREET <br />PROJECT NA 17-6472: BRISTOL STREET WATER MAIN IMPROVEMENTS FROM <br />WASHING'T'ON AVENUE TO 17Th STREET <br />PROJECT NO, 17-6473: BRISTOL STREET SEWER MAIN IMPROVEMENTS FROM <br />WASHINGTON AVENUE TO 17TH STREET <br />OWNERSHIP AFFIDAVIT <br />STATE Or CALIFORNIA, <br />COUNTY OF ORANGE ) SS; <br />CITY OP SANTA ANA ) <br />Aaron O'Brien � , being duly sworn, deposes and says; <br />Ej INDIVIDUAL That Pte/she is dra party making the foregoing proposah <br />El PARTNIMli That he/she is a member of the co•partnerslrip firm designated as: <br />and who has been and is duly vested with the authorlry ko make and cascara instmm�ents <br />for the co -para ership by: <br />who constitute the other mcrobers of the co -partnership. <br />CORPORATION That he is of: <br />Los Angeles Engineering, Inc. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE That lie is of: <br />one of the parties making the foregoing proposal as a joint. vonture, and the he/she htta <br />been and is duty vested with the authority, to execute instruments for an on behalf of the <br />parties making said bid wlro are: <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 />propose contract, for himself or any other person. <br />Signature of Bidder Aaron O'Brien, Secretary <br />Subscribed and sword to before me this _— day of 20 ,, <br />See Attached Notary Acknowledgement <br />Signature of officer Administering Oath (Notary Public) <br />Rll of P-21 <br />23A-22 <br />