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OWNERSHM AMPA. yI <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />CITY OF SANTA ANA <br />Mike Rodgers <br />CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6333 <br />TRAFFIC SIGNAGE UPGRADE <br />FEDERAL PROJECT NO: IISIPL 5063(157) <br />SS; <br />} <br />, being. duly sworn, deposes and says: <br />nwmvIDUAL That he/she is the party matting the foregoing proposal; <br />L7 PARTNER That, he/she Isamember ofthe co-partnershipfirm designated ast <br />and who has been and is thuly vested with ¢]re authority to make and execute inshvnuonts for the oo- <br />phainership byc <br />who constihite ti:e other. nnernUers o f the 00-pataorship. <br />LjCORPORATION That he is of: <br />President <br />R corporation vvlrleh is making due foregoing proposal: <br />[I JOINT VENTURE That he is of: <br />one of the patties inaldag the foregoing proposal as a joint venture, and the he/she has been and is duly <br />vested with the authority to. execute instruments for an on behalf or the partles making said bid wbo are; <br />that such a bid is genuitio and not collusive or sham, and has not in any manner sought by collusion to <br />secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for <br />himself or any other person. <br />Sign—etre ZKdOr Mike Rodgers, President <br />Subscribed and sworn to before Ine this _ day of. 20 <br />SEE ATTACHED <br />Signature of officer Administering Oath (Notary Public) <br />P-6 ofP-38 <br />