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CITY OF SANI'A ANA <br />PROPOSAL <br />PROJECT NO.: 22-6970 <br />OMNIBUS CONCRETE REPAIRS <br />PUBLIC CONTRACT' CODE: SECTION 10162 QUESTIONNAIRE <br />lit conformance with Public Contract Code Section 10162, the BIDD)R shall complete, <br />under penalty of perjury, tine 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 <br />from bidding on, or completing a federal, state, or local government project because of a <br />violation of law or a safety reguI t' n? <br />Yes No <br />If the answer is yes, explain the circumstances in the following space. <br />P-16 of P-17 <br />