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FULL AGENDA PACKET 2021-07-06
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FULL AGENDA PACKET 2021-07-06
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7/12/2021 12:33:17 PM
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City Clerk
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Agenda Packet
Agency
Clerk of the Council
Date
7/6/2021
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CITY OF SANTA ANA <br />PROPOSAL, <br />NO.20-2714: EL SALVADOR PARK BASKETBALL COURT AND COURT LIGHTING <br />NO.20-2717: RIVERVIEW PARK BALLFIELD SPORTS LIGHTING <br />OWNERSHIP AFFIDAVIT <br />STATEOP CALIFORNIA ) <br />COUNTY OF ORANGE ISS: <br />CITY Of SAM A ANA I <br />MaryAnn Feilmeier ___---_, being duly sworn, deposesand rays. <br />❑ INDIVIDUAL liiat Ire/she is the party nnAing the foregoing Proposal. <br />PAR-1NF.1611IP 'Ilia[ he/she is a member of tile co-uannership frmr designated as: <br />and who has been and is duly vested with ilia authority to make and execute inshinfleraN <br />for file co•pannership by: <br />who conslimle die other members of the co -partnership. <br />�I CORPI)I A110N Thal he is of <br />RMF_Contracting Inc_dba R&M Electrical Contracting <br />............. <br />if corporation which is making life loregoing proposal: <br />JOINT'VItNTURS That ale is of. <br />-_ .........................— <br />one of tile )aides racking ilia foregoing proposal as ajoin! venture, and the he/she has <br />been and is duly vested with the inubority to cxectdc instruments for an on behalf (if use <br />parties franking said bid who are. <br />------------------ <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, f01 binaself or any other person. <br />1 / ), U.) _ <br />Signature of Biddei <br />Subscribed and sworn to before me this clay of May 20 21 <br />(ice. (fie xQlo) — <br />Signature of officer Administering Oath (Notary Public) <br />A notary pull or 011ie, officer compleane this Wdfitate .enaes only tn¢ <br />Identity of ine Indlvlaual who Siaft,d the OOGumenl to which In's Carp(: <alt' <br />is attachee, and no11h, IryM ,flnu 5. H[culd CY. or vdlld�tV of That C9<VrnenL <br />State of Cardorn �/� <br />Couf." of �' 1 1 }ram <br />Subss�cr�ill e�d5 a'�nd((swoil to (or aI IMefonre me on this S v ve daY <br />of <br />prpved to me on the basis <br />of satisfactory a en< ro t)e it.- per oats who �appeared <br />/Wale r/oe- <br />Signawre_-�'✓`""" "'(S¢aIl <br />P-G of P-17 <br />d�w�wwm..ra.m®. �al.w RS0 -on.� <br />Wfll A�VEF$ON <br />N lh a:l lif C 1'/Ornln u <br />pb <br />y t �M23tY r)e [ a.a'n r Fs � 1. 202�Y <br />&nbt p; <br />(,IIY c,ouli,.11 <br /> :II – 30 <br />7/o/2021 <br />&Ibsp, <br />
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