20A - AA - CONTRACT TO AMERICAN ASPHALT FAIRVIEW MAINTENANCE

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that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed cont act, for it self or any other person. Signa Ire of Bidder Edward J. Carlson, Vice President Subscribed and sworn to before me this Signature of officer Administering Oath (Notary day of 20 a+la�oh- �� Gali�m�a�Jut� P-6 of P-16 20A-22 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6881 FAIRVIEW STREET PAVEMENT MAINTENANCE OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTYOFORANGE )SS: CITY OF SANTA ANA ) Edward J. Carlson , being duly sworn, deposes and says: ❑ INDIVIDUAL That he/she is the party making the foregoing proposal: ❑ PARTNERSHIP That he/she is a member of the co -partnership firm designatedas: and who has been and is duly vested with the authority to make and execute instruments for the co -partnership by: who constitute the other members of the co -partnership. CORPORATION That he is of.. All American Asphalt a corporation which is making the foregoing proposal: ❑ JOINT VENTURE That he is of: one of the parties making the foregoing proposal as a joint venture, and the he/she has been and is duly vested with the authority to execute instruments for an on behalf of the parties making said bid who are: that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed cont act, for it self or any other person. Signa Ire of Bidder Edward J. Carlson, Vice President Subscribed and sworn to before me this Signature of officer Administering Oath (Notary day of 20 a+la�oh- �� Gali�m�a�Jut� P-6 of P-16 20A-22