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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 1 I-6740: BRISTOL STREET IMPROVEMENTS AND WIDENING FROM <br />WASHINGTON AVENUE TO 17TH STREET <br />PROJECT NO. 17-6472: BRISTOL STREET WATER MAIN IMPROVEMENTS FROM <br />WASHINGTON AVENUE TO 17TH STREET <br />PROJECT NO. 17-6473: BRISTOL STREET SEWER MAIN IMPROVEMENTS FROM <br />WASHINGTON AVENUE TO 17TH STREET <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />Aaron O'Brien <br />, being duty sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the party making 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 duty vested with the authority to make and execute instruments <br />for the co -partnership by: <br />who constitute the other members of the co-parmership. <br />© CORPORATION <br />That he is of: <br />Los Angeles Engineering Inc. <br />a corporation which is making the foregoing proposal: <br />JOINT VENTURE <br />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 />proposq contract, for himself or any other person. <br />Signature of Bidder Aaron O'Brien, Secretary <br />Subscribed and sworn to before me this _ day of 20 -- <br />See Attached Notary Acknowledgement <br />Signature of officer Administering Oath (Notary Public) <br />P-11 of P-21 <br />