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CITY OF SANTA ANA <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Certification - I certify that I have read, understand and agree to the terms and conditions of this Request for <br />Proposals. I have examined the Scope of Services (Exhibit I) and am qualified to provide services being requested <br />as specified herein. I understand and agree that I am responsible for reporting any errors, omissions or <br />discrepancies to the City for clarification prior to the submission of my proposal. <br /> <br /> <br />PROPOSER’S STATEMENT: I have read, understood and agree to the terms and conditions on all pages of the <br />Request for Proposals. Upon request, I will transfer and deliver goods or services to the City in accordance with <br />said terms and conditions. <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />BUSINESS ADDRESS <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />SIGNATURE OF AUTHORIZED AGENT DATE E-MAIL ADDRESS <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER (IFAPPLICABLE) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />ATTACHMENT A <br /> <br />PROPOSER’S CERTIFICATION, PROPOSAL PRICING <br />EXHIBIT 1