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RE -ADVERTISEMENT <br />Appendix <br />ATTACHMENT 3-11: PUBLIC CONTRACT CODE SECTION 10162 <br />QUESTIONNAIRE <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE <br />In conformance with Public Contract Code Section 10162, the CONTRACTOR shall complete, under <br />penalty of perjury, the following questionnaire: <br />Has the CONTRACTOR, any officer of the CONTRACTOR's organization, or any employee of the <br />CONTRACTOR's Company who has a proprietary interest in the CONTRACTOR, ever been disqualified, <br />removed, or otherwise prevented from proposing/bidding on, or completing a federal, state, or local <br />government project because of a 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 />- <br />City of Santa Ana Kr r 2-055 <br />Page A3-13 <br />