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ATTACHMENT A <br />PROPOSE'R'S CERTIFICATION, PROPOSAL ITEM PRICING <br />Certification - I certify that I have read, understand and agree to the terms and conditions of <br />this Request for Proposals. I have examined the Scope of Services (Exhibit 1) and am qualified <br />to provide services being requested as specified herein. I understand and agree that I am <br />responsible for reporting any errors, omissions or discrepancies to the City for clarification prior <br />to the submission of my proposal. <br />PROPOSER'S STATEMENT: I have read, understood and agree to the terms and conditions <br />on all pages of the Request for Qualifications. Upon request, I will transfer and deliver goods or <br />services to the City in accordance with said terms and conditions. <br />Choura Events <br />LEGAL NAME OF COMPANY <br />540 Hawaii Ave, Torrance, CA 90503 <br />BUSINESS ADDRESS <br />Jeff Ginter <br />PRINTED NAME OF AUTHORIZED AGENT <br />P: (310) 320-6200 11 F: (310) 781-8227 <br />PHONE AND FAX NUMBERS <br />Director of Operations <br />TITLE <br />24th, 2021 <br />NATURE OF AUTHORIZED AGENT DATE <br />49-4530302 1045795 <br />ra.co <br />E-MAIL ADDRESS <br />FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br />(IFAPPLICABLE) <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED <br />NONRESPONSIVE. <br />City of Santa Ana <br />RFP No. 21-063 Outdoor Safe Dining Parklets Page 30 of 36 <br />