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FULL PACKET_2016-12-06
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FULL PACKET_2016-12-06
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12/5/2016 10:25:30 AM
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12/5/2016 9:49:40 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Clerk of the Council
Date
12/6/2016
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CITY OF SANTA ANA <br />PROJECT NO. 16-6467 <br />SANTA ANA DELHI CHANNEL DIVERSION PROJECT <br />4-11QU01 "21 <br />(ADDENDUM ONE ` JULY 22, 2016) <br />QWNFAS1111' AFFIDAVIT <br />SIA 11; OF CALIFORMA <br />C1 IN 017 SANTA ANA <br />- -'r_q <br />j� j PAn-NF'RSHIP <br />t <br />I SS: <br />�) 1n <br />Wing daly $Nnrt4, deposiv, anti x1Y45 <br />'that helshc!. the fwty� making, iln_ liarsnoinr peatlxaMd: <br />"chat tWshc!� a =1111 ;r orlhe co- partnership firm dcsigrmwd us: <br />40114 who ha;t I vii and to duly Yosted milli the anlhordf9 to mgke and vxco ac insu cn15 <br />Vku dm co -p irinership by; <br />+ 7i o can tiwc 1L ether nu:smh'ure of the ctrfu9nsr:,hip <br />0101ft1iM ION That he k oil <br />44C 1a 6a1t,h is makdns Ow 1 1 wra going pcngxx: & <br />DJCkdhtrVId NIttkiz -mitt tic isolt <br />acne nC the 1 +rort1c.5 rmtking E 14 owguing prnpo5l1I as a joint wntuae, alld the hcashc 1ta, <br />km .and is didu ae *teed w[rh the aalih(€ity taw ewcute hnwtntaoun1s fur ten tm behelr¢1f'the <br />parsdes peaking said bid w63 are: <br />thal such a bid is blenuine and not collnsirre or shale, and has not in any manner sought by <br />collusion to secure any aelvamage against the City or Santa Ana or any person intemstetl in the <br />roach; ctti ct, l' trn <br />orhimselforyo1herporson, <br />,3 - -`�.S <br />Sig.![W t re of8it i &i= <br />Stthscf -bed and sworn it) before me Ili Is clay car -- - 20 <br />Signature of ofliccr Administering Oath (Notary lttablic) <br />Gity of ,Santa Ana t Projr[;I 15 -646f Sanla Brit Wlb fpar�eqpl Diversion Project t R Blf.l t?dohr:r 1, 20'16 <br />23A -13 <br />
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