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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2665 <br />SECURITY LIGHTING AT (8) PARKS <br />OWNERSHIP AFFIDAVIT <br />_., STATE OF CALIFORNIA <br />�.) <br />.3O L.uvw+c�+-<, t � IJfll'rT P-filtAtdf`P,' )SS: <br />CITY OF SANTA ANA + } <br />,being duly sworn, deposes and says: <br />❑ INDIVIDUAL That he/she is the party making the foregoing proposal: <br />[]PARTNERSHIP 'Mat he/she is a member of the co -partnership find designated as: <br />art([ who has been and is duly vested with the authority to make and execute instruments <br />for the eo-partnership by: <br />who constitute the. ither members ofthe co -partnership. <br />45 kc <br />rXI CORPORAT'ION ThatlKlis of 4 <br />P <br />a corporation which is matting the foregoing proposal: <br />❑JOINT VENTURL That he is of. <br />one of the parties making the foregoingproposal as a joint. venture, and the he/she has <br />been and is duly vested with the authority to execute instruments for as 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 />prop contract, for himself or any <br />, other person. <br />Signature of Bidder <br />Subscribed and sworn to before me this art,. day of U 26 <br />Signature of office Admini tering Oath (Notary Public) <br />VIRGINIA PINEL <br />Commission k 2139014 = <br />C"=r Notary Publle • Uftrnla <br />Sen Bernardino County <br />M Comm. Expires Jan 2, 2020 <br />P-6 of P46 <br />