Laserfiche WebLink
CITY OF SANTA ANA <br />RFP NO.: 22-096 <br />ON CALL EMERGENCY ASPHALT & PCC <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE I SS: <br />CITY OF SANTA ANA t <br />Michael Murray , being duly swom, deposes and says: <br />[]INDIVIDUAL That he/she is the party making the foregoing proposal: <br />❑ PARTNERSHIP That he/she is a member ofthe co -partnership firm designated as: <br />and who has been and is duly vested with the authority to make and execute instruments for the co -partnership <br />by: <br />who constitute the other members of the co -partnership, <br />i] CORPORATION That he is of: <br />Hardy & Hamer. 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 ajoinl venture, and the he/she has been and is duly vetted <br />with the authority to execute instruments for an on behalf of the parties making said bid who are: <br />that such a bid is genuine and noh collusive or sham, and has not in any manner sought by collusion to secure any <br />advantage against the City of Sfa Ana or any person interested in the proposed contract, for himself or any other <br />person. <br />Signature ofeQ TRj <br />Michael Murrary, Vice <br />Subscribed and sworn <br />before me this day of <br />Administering Oath (Notary Public) <br />Page 3 of 10 <br />