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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 )SS: <br /> CITY OF SANTA ANA <br /> ,being duly sworn,deposes and says: <br /> ❑INDIVIDUAL That he/she is the party making the foregoing proposal: <br /> ❑PARTNERSHIP 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 /> ❑CORPORATION That he is of: <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 ajoint 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 />