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• -• 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 I) 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 /> New Tangram, LLC dba Tangram Interiors (562) 365-5000 <br /> LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br /> 1375 Dove St #300, Newport Beach, CA 92660 <br /> BUSINESS ADDRESS <br /> Kimberly Barnow Account Executive <br /> PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> -:'�-_ � _ kbarnow@tangraminteriors.com <br /> SIGNATURE OF AUTHORIZED AGENT DATE E-MAIL ADDRESS <br /> 37-1428740 835539 <br /> FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br /> (IFAPPLICABLE) <br /> 349195 (See Next Page) <br /> CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br /> (PLEASE PROVIDE IF AVAILABLE, BUT NOT REQUIRED UNTIL AND IF AN AWARD IS MADE TO PROPOSER.) <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br /> City of Santa Ana RFP 24-080A Page 33 of 42 <br /> Tangram Interiors I City of Santa Ana 6 <br />