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DocuSign Envelope ID: 01AF1CC8-B77B-44CE-8C90-3E207F451847 <br />0 <br />CITY OF SANTA ANA <br />ATTACHMENT A <br />PROPOSER'S CERTIFICATION, PROPOSAL PRICING <br />Certification - I certify that I have read, understand and agree to the terms and conditions of this Request <br />for Proposals. I have examined the Scope of Services (Exhibit 1) and am qualified to provide services <br />being requested as specified herein. I understand and agree that I am responsible for reporting any <br />errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. <br />PROPOSER'S STATEMENT: I have read, understood and agree to the terms and conditions on all <br />pages of the Request for Proposals. Upon request, I will transfer and deliver goods or services to the <br />City in accordance with said terms and conditions. <br />AppleOne, Inc. dba AppleOne_Employment Services (866) 493-8343 <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br />327 W. Broadway Glendale, CA 91204 <br />BUSINESS ADDRESS <br />Thai Ngo Chief Financial Officer <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br />SIGNATURE OF <br />95-2580864 <br />4/13/2023 govnoticesC!)appleone.cQm <br />AGENT DATE <br />FEDERAL ID NUMBER (IF APPLICABLE) <br />E-MAIL ADDRESS <br />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 NONRESPONSIVE. <br />