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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 19-752 7 <br />SANTA ANITA PARK <br />NEW SYNTHETIC SOCCER FIELD & PARK IMPROVEMENTS <br />300 S. FIGLLEROA STREET <br />PU13L1C CONTRACT CODE SFC`I'ION 10162 UESTIONNAIRE <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 <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 _. _ <br />No A _ <br />If the answer is yes, explain the circumstances in the following space. <br />P-19 of 11-20 <br />