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OWNERSHIP AFFIDAVIT <br /> STATE OF CALIFORNIA <br /> COUNTY OF ORANGE )SS: <br /> CITY OF SANTA ANA <br /> ,bulk;duly sworn,deposes and says: <br /> ❑INDIVIDUAL That he/she is the party making the foregoing proposal: <br /> ❑PARTNERSHIP Tlinthe/she is a member of the 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- <br /> partnership by: <br /> who constitute the other members of the co-partnership. <br /> X CORPORATION Thathe is of: J&L Constructors 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 a joint venture,and the he/she has been and is duly <br /> vested 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 not collusive or sham, and has not in any manner sought by collusion to <br /> secure any advantage against the City of.Santa Ana or any person interested in the proposed contract, for, <br /> himself or any other person. <br /> A1911 <br /> Signature of Bidder Notarized online using audio-video communication <br /> Notary:State of Florida,County of Duval <br /> Subscribed and sworn to before me this 24" day of January 20 24 <br /> LT"r- atom*, ADOULRAHMAN SARDANI <br /> Signature of officer Administering Oath(Notary Public) �;^ `•.; <br /> erg. Notary Public-State of Florida <br /> ID produced: DRNaR.LICENSE ?a, null a Commission#Rm3s22sl <br /> y+•A <br /> A <br /> • . 04 C Expires on Apo a.2o27 <br /> or <br /> N#/elo IIIIIDe$ <br /> City of Santa Ana RFP 23-182 <br /> Page A3-7 <br />