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CITY OF SANTA ANA ADDENDUM TWO <br />PROPOSAL <br />PROJECT NO.: 18-9002 <br />BUSH STREET BICYCLE BOULEVARD <br />PROJECT NO.: 21-6442 <br />BUSH STREET BIKEWAY WATER IMPROVEMENTS <br />PROJECT NO.: 21-6443 <br />BUSH STREET BIKEWAY SEWER IMPROVEMENTS <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE <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 from <br />bidding on, or completing a federal, state, or local government project because of a violation of <br />law or a safety regulation? j <br />Yes No <br />If the answer is yes, explain the circumstances in the following space. <br />W. <br />