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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NOS.: 16-1301, 16-1302, 16-1303, 16-1304 <br />DOWNTOWN PARKING FACILITY IMPROVEMENTS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />ERIC OTHMAN being duty sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP That he/she is a member of the co -partnership firm designated as: <br />and who has been and isduty vested with the authority to make and execute instruments <br />for the co -partnership by: <br />who constitute the other members of the copartnership. <br />® CORPORATION That he is of., SECRETARY OF USS CAL BUILDERS INC. <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE 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 secure any advantage against the City of Santa Ana or any person interested in the <br />proposed contract, for himself or any other person. <br />Signature of Bidder <br />Subscribed and sworn to before me this day of 20 _ <br />tUE ftrDi(twi Nooyj <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />