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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6843 <br />SAFE TRANSIT STOPS <br />OWNERSHIP AFFIDAVIT <br />STATE OF CALIFORNIA ) <br />COUNTY OF ORANGE ) SS: <br />CITY OF SANTA ANA ) <br />Michael Martin , 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 />X❑ CORPORATION That he is of: <br />a corporation which is making the foregoing proposal: <br />❑ ,IOINT VENTURE That he is of <br />one of the parties making the foregoing proposal as a joint venture, and the he/she has <br />been and is duly vested with the authority to execute instruments for an on behalf of the <br />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 <br />collusion to secure any advantage against the City of Santa Ana or any person interested in the <br />—proposed con act, hirn � ]for an they erson. <br />Signatur of Bidder <br />Subscribed ip�d sw it before me this 26th day of April 20 16 <br />Signature of officer Administering Oath (Notary Public) <br />pMARTIN <br />NICK <br />Commission # 1978731 <br />u e' a <br />Notary Public - California z <br />z" <br />Orange County <br />My Comm. Expires May 27, 2018+ <br />P-6 of P-16 <br />