Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO, IS -6828 <br />Harbor Boulevard Corridor Traffic Signal Improvements <br />(as part of Harbor Blvd Traffic Signal Synchronization Project) <br />OWNERSHIP AFFIDAVIT <br />STATEOF &AA#f=KM Pennsylvania <br />COUNTY OP 0&0,UK Montgomd25§¢ <br />CITY of SANTA ANA <br />Gregory W. Holman , being duly sworn, deposes and says: <br />ClINDIVIDUAL 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 <br />instruments for the co -partnership by: <br />who constitute the other members of the co -partnership, <br />ORPORATION That he is of: <br />Vice President <br />a corporation which is making the foregoing proposal: <br />[]JOINT VENTURE That he is of: <br />execute <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 an behalf of <br />the 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 />proposedonlract, for hi se ' or a y other person. <br />Signature <br />ignator of Bt Gregory W. Hol " Vice President <br />Subscrib d and sworn to before me this �"Z day of� 20 jjf <br />signature o Icer Adm is Bring oat h jNa' a blit) <br />COMMONWEALTH OF PENNSYLVANIA <br />N07AIRALSEAL <br />KIMBERLY S. WILEy, Notary Public <br />Horsham Township, Montgomery County <br />My Commission Expires f V41 Ji018 <br />