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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 25-6030 <br />TRAFFIC SIGNAL INSTALLATION AT SEGERSTROM AVENUE AND ROSEWOOD <br />AVENUE <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA <br />COUNTY OF ORANGE <br />CITY OF SANTA ANA <br />❑ INDIVIDUAL <br />❑ PARTNERSHIP <br />❑ CORPORATION <br />❑ JOINT VENTURE <br />SS: <br />, being duly sworn, deposes and says: <br />That he/she is the party making the foregoing proposal: <br />That he/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 <br />for the co -partnership by: <br />who constitute the other members of the co -partnership. <br />That he is of: <br />a corporation which is making the foregoing proposal: <br />That he is of: <br />one of the parties making the foregoing proposal as a joint venture, and the he/she has been <br />and is duly vested with the authority to execute instruments for an on behalf of the parties <br />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 <br />to secure any advantage against the City of Santa Ana or any person interested in the proposed <br />contract, for himself or any other person. <br />Signature of Bidder <br />Subscribed and sworn to before me this day of 20 <br />Signature of officer Administering Oath (Notary Public) <br />P-7 of P-19 <br />