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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 /> J.K. Miklin, Inc. dba: Yamada Enterprises (714) 843-9882 (714) 843-9202 <br /> LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br /> 16552 Burke Lane, Huntington Beach, CA 92647 <br /> BUSINESS ADDRESS <br /> Jr Arroyo Representative <br /> PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> Cl ,ry 2/Ld July 15, 2024 jr@yamadaenterprises.com <br /> SIGe/A TURE OF Vf THORIZED AGENT DATE E-MAIL ADDRESS <br /> 33-0783690 582159 <br /> FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br /> (IFAPPLICABLE) <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 />