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CITY OF SANTA ANA <br />SPECIFICATIONS <br />PROJECT NO.: 15-2645 <br />SANTIAGO PARK — OAS HOUSE AREA DEVELOPMENT <br />OWNERSHIP AF'F'IDAVIT <br />STATE OF CALIFORNIA <br />) <br />COUNTY OF ORANGE <br />) SS: <br />CITY OF SANTA ANA <br />) <br />being duly sworn, deposes and says: <br />❑ INDIVIDUAL <br />That he/she is the patty snaking the foregoing proposal: <br />❑ PARTNERSHIP <br />That lie/she is a ntesnber of the co -partnership finn 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 />M CORPORATION <br />That he is of: <br />Vice President <br />a corporation which is making the foregoing proposal: <br />❑ JOINT VENTURE <br />That lie is of: <br />one of the patties making the foregoing proposal as a joint venture, and the lie/she has <br />been and is duly vested with the authority to execute instruments for an on behalf of the <br />patties 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 />proposed contract, for him el ny__ to r person. <br />Signatur�f Bidder <br />Subscribed and sworn to before me this V/ day of 20 2 <br />Signature of officer Administering Oath (Notary Public) <br />SEE ATTACHED <br />NOTARIZATION <br />