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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6802 <br />LINCOLN AVE. PEDESTRIAN PATHWAY PARK: LN. TO SANTIAGO CREEK <br />ATPL-5063(177) <br />PITH? IC CONTRACT CODE SECTION D162 QMS— IQh1N 9E- <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br />under penalty of perjury, the following questionnaire: <br />I4as 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, reimoved, or otherwise prevented from <br />bidding on, or completing a federal, state, or local government project because of a violation of <br />lacy or a safety regulation? <br />Yes No x <br />If the answer is yes, explain the circumstances in the following space. <br />P-19 of P-19 <br />