Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6833 <br />TRAFFIC SIGNAGE UPGRADE <br />FEDERAL PROJECT NO: HSIPL 5063(157) <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />Mike Rodgers <br />, being only sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the party malting the foregoing proposal: <br />❑ PARTNERSHIP <br />That he/she 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 exeoute instruments for the co- <br />partnership by: <br />who constitute the other members of the co -partnership. <br />[q CORPORATION <br />That he is of.- <br />fPresident <br />President <br />a corporahon which is making the foregoing proposal: <br />❑.JOINT VENTURE <br />That he is of: <br />one of the parties malting the foregoing proposal as a,joint venture, and the he/she has been and is duty <br />vested with the authority to execute instruments for an on behalf of the 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 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 />SlgnattlTe ddeT Mike Rodgers, President <br />Subscribed and sworn to before me this clay of 20 <br />SEE ATTACHED <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-38 <br />