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Appendix <br />ATTACHMENT 3-6: OWNERSHIP AFFIDAVIT <br />OWNERSHIP AFFIDAVIT <br />STATE OF ('AI.,IFORNIA <br />( ()i.INI'Y OU ORAN(iF? <br />CTFY GF SANTA ANA <br />Van Nguyen <br />[_] iNDWIDUAL <br />n MR`i'NI RSI UP <br />MCORI'ORAf"ION <br />1 ­1JOINT VENTUR:F <br />1 <br />SS: <br />, being duly sworn, deposes and says: <br />That he/she is the party retaking the fkiregoint, proposal: <br />That he/she is a member of the ut-partnership firm designated. ;as: <br />avid who has been and is doly vested with the aaztbority to snake and exeeuw� instmniunts for the Co- <br />partn.ership by: <br />wlm constitute the other nienibers of the co-p+Wnership. <br />Z'haf Ire is of: <br />California Professional Engineering, Inc. <br />a corporation which is making thu foregoing proposal: <br />That he is or. <br />one of the panties making the foregoing proposal as it joint venture, and the he/shc has been and is duly <br />Yested with fhe authority to execuw insiruments for an on hehorofthe partics malcing said bid Grho arc: <br />that such a hid is getwine and not collusive or sham, and has not in any manner sought by collu%ion to seetire <br />any advantage aaWnst the Clt of ,Santa Ana or any person interested its the proposed con.cract, for himself or <br />any other p of . <br />Sip,naturc-QA CONTRACTOR <br />and s o before me this l61 clay of � � _ 20 22 <br />of officer Add istering Oath (Notary Public) <br />*my <br />ALICIA NGUYEN <br />Notary Public - California <br />Los Anggeles County <br />Commission # 2375006 <br />Comm. Expires Sep 23, 2025 <br />City of Santa Ana RFP 21-096 <br />Page A3-7 <br />