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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 23-6907 <br />LOCAL STREET PREVENTATIVE MAINTENANCE FY 22-23 <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br />un4ler penalty of perjury, the following questionnaire: <br />Has the BIDDER, any officer of tile BIDDER, or any employee of the BIDDER who has a <br />proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented frorn <br />bidding on, or completing a federal, state, or local government project because of a violation of <br />law or a safety regulation? <br />Yes No X <br />If the answer is yes, explain the circurnstances in tile following space. <br />N/A <br />City Council 19-46 5/16/2023 <br />