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25O - AGMT AMBULANCE SVCS
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25O - AGMT AMBULANCE SVCS
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Last modified
12/13/2018 8:36:26 PM
Creation date
12/13/2018 8:28:27 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Finance & Management Services
Item #
25O
Date
12/18/2018
Destruction Year
2023
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PROPOSAL TO PROVIDE FIRE/EMS EMERGENCY TRANSPORTATION & RELATED SERVICES <br />CITY OF SANTA ANA <br />ITEM 14: CONFLICT OF INTEREST CERTIFICATION <br />The undersigned hereby certifies on behalf of Care Ambulance Service, Inc. ("Proposer"), and <br />hereby declares under penalty of perjury under the laws of the State of California, that <br />Proposer is not, and will not be violating either directly or indirectly any conflict of interest <br />statute, rule, or regulation if awarded a contract and if authorized to perform the services <br />described in this RFP. <br />Signed, this 22nd day of October, 2018 in Orange, California. <br />IF CORPORATION: <br />October 31, 2018 <br />Signature of CEO <br />Troy M. Hagen <br />October 31, 2018 <br />Signature of Secretary <br />Brian M. Richmond <br />RFP # 18-059—CARE AMBULANCE SERVICE 250-198 48 <br />
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