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CITY Y OF SANTA ANA <br />:PROPOSAL <br />PROJECT NO 21-6457 <br />VALLEY ADAM$ NEIGHBORHOOD WATER MAIN IMPROVEMENTS PHASE 2 <br />FIBLIC CONJIMACT CODE SECTION 10162 QUESTIONNAIRE <br />In conformance with .Public Contract Code Section 10162, the BIDDER shall complete, <br />tinder penalty of perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any cntployee of the BIDDER who has a <br />proprietary interest in the BIDDER, ever been disqualified, ternoretl, 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 _.X <br />If the answer is yes, explain the circumstances in the following space <br />P-17 of P-18 <br />