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City of Santa Ana <br />ITEM 15: STATEMENT OF TRUTH <br />The undersigned hereby certifies on behalf of <br />("Proposer"), and hereby declares under penalty of perjury under the laws of the State <br />of California, that the information provided by Proposer and contained in this bid to the <br />(TBD) EMS 9-1-1 Emergency Transportation Service RFP is accurate, complete, true <br />and correct to the best of our knowledge. We are aware that should any of the <br />information contained herein be found to be false, incorrect, or otherwise untruthful, or if <br />the information contained herein contains material misrepresentations and/or material <br />omissions of fact, the City of Santa Ana of Santa Ana may, at its sole discretion, pursue <br />any and all remedies available as authorized by law, which may include the right, at the <br />option of the City, to either reject or disqualify this bid proposal from further <br />consideration in the course of the procurement process and/or to declare any contract <br />awarded as the result thereof void. Signed, this day of <br />, 2018 in California. <br />In the event that one of the above events occurs during the bid submittal date and <br />contract award, the new corporation/stockholder must provide a notarized statement <br />stating their agreement to the terms and conditions of the contract and prior to bid <br />submittal without exceptions. This must be received within 5 business days of the <br />change <br />IF SOLE OWNER: <br />Signature of Owner Date <br />Print Name <br />IF PARTNERSHIP (JPA or merger): <br />Signature of Partner (General Partner) Date <br />Print Name <br />IF CORPORATION: <br />Signature of President Date <br />City of Santa Ana Page 188 <br />Fire/EMS Emergency Ambulance Transportation and Related Services <br />Request for Proposals: # 18-059 <br />August 28, 2018 <br />