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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.:20-7535 <br />LOCAL STREET CURB RAMP IMPROVEMENTS (PHASE 11) <br />'PUBLIC CONTRACT CODE SECTION 0! Z UEST,�ONNATRE <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 off= of the BIDDER, or any employee of the BIDDER who has a <br />proprietaryy, 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 orasafety regulation) <br />Yes No V <br />If the answer is yes, explain the circumstances in the following space. <br />P-15 ofP-15 <br />