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CITY OF SANTA A <br />PROPOSAL <br />PROJECT NO.: 11-6413 <br />SA-5 VAULT MODIFICATIONS <br />PUBLIC CONTRACT CODE SECTION .10162 QUESTIONNAIRE <br />In conformance with Public Contract Code Section 10162,tine BIDDER shall complete, under <br />penalty of perjury, the following questlonnaire; <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 gavernment project because of a <br />violation of law or asafety regulation? <br />Yes No *�-- <br />If the answer is yes, explain thecircurnstances in the following space. <br />P-1.6 OF 11-1.0 <br />23A-24 <br />