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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Van Nguyen being duly sworn, deposes and says: <br />❑ TNDTVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP that. he/she is a member of the. co -parr nership firm designated as: <br />and who has been and is duly vested with the authority to make and execute instruments <br />for the co -partnership by: <br />who constitute the other, members of the co -partnership. <br />EYCORPORATION That he is of: <br />(',AI IPOPNIA PROFFSSnbfAI FNCl NFFRING;ING INC <br />a corporation which is making the foregoing proposal: <br />❑ J01NT 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 N duty vested with the authority to execute instruments for an on behalf of Nie <br />parties making said bid who are: <br />that such a bid is genuine and not collusive or <br />collusion to secure any advantage against the City <br />proposed cont7-fo::l <br />xf or any other person, <br />Signature of Bidder <br />Subscribed and sworn to be'f `re me this <br />sham, and has not in any manner sought by <br />of Santa Ana or any person interested in the <br />day of JUNE 20 17 <br />Signature of officer Administering Oath (Notary Public) <br />P-6 of P-16 <br />