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CITY OF SANTA ANA <br /> PROPOSAL <br /> PROJECT NO.: 22-0504 <br /> COUNCIL CHAMBERS RESTROOM & TRANSLATION ROOM <br /> PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE <br /> In conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br /> under penalty of perjury,the following questionnaire: <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 government project because of a <br /> violation of law or a safety regulation? <br /> Yes No V <br /> If the answer is yes, explain the circumstances in the following space. <br /> City Council 14 —23 7/16/2024 <br /> P-16 of P-17 <br />