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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 26-6910 <br />ALLEY IMPROVEMENTS PROGRAM <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />7e!�uS Ln'fyy eZ 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: President Of Call State Paving, 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 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 />"ignat*dder <br />Subscribed and sworn to before me this 5* tk day of N ov, . <br />Signature of officer Administering Oath (Notary Public) <br />20.)-.s <br />MOON C. LEE <br />U EU^L^ COMM. # 2534648 <br />0 4s NOTARY PUBLIC • CALIFORNIA <br />ORANGE COUNTY 0 <br />2 . •�,F°RN COMM. EXPIRES NOV. 4, 2029 <br />P-6 of P-18 <br />