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23B - PROJ - CARL THORNTON PARK
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11/19/2019
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23B - PROJ - CARL THORNTON PARK
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Last modified
11/14/2019 7:41:13 PM
Creation date
11/12/2019 2:52:30 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23B
Date
11/19/2019
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` C � <br />CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2654 <br />THORNTON PARK RESTROOM <br />PUBLIC CONTRACT CODE SECTION 10162 OUESTI <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br />under penalty of perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a <br />proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented <br />from bidding on, or completing a federal, state, or local government project because of a <br />violation of law or a safety regulation? <br />Yes No -'"'"'""- <br />If the answer is yes, explain the circumstances in the following space. <br />P-17 of P-17 <br />
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