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RE -BID <br />CFFY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2654 <br />THORNTON PARK RESTROOM <br />PUBLIC QQNT ACCT CODE SECTION 10162 QIIES'1',MK&A-1 <br />In conformance with Public Contract Code Section 10162, the BIDDER shall completc, <br />under penalty of perjury, the following questionnaire: <br />Has the BIDDER, any ofziccr 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 xxxxx <br />If the answer is yes, explain the circmnstances in the following space. <br />P-17 of P-17 <br />