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CI'T'Y DID SA~~~d'~' A A~dA <br /> <br /> • PR03EC T NO. OS-3195 <br /> PROPOSAL AND CONTRACT AGREEMENT <br /> PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE <br /> In conformance with Public Contract Code Section 10162, the $idder shall complete, under penalty <br /> of perjury, the following questiomiaire: <br /> Has the bidder, any officer of the bidder, or any employee of the bidder tivho has a proprietary <br /> interest in the bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or <br /> completing a federal, state, or local govennnent project because of a violation of law or a safety <br /> regulation? <br /> Yes No x <br /> • If the answer is yes, explain the circumstances in the following space. <br /> • <br /> TO BE INCLUDED IN BID PACKAGE <br /> ~PZ~f2~ <br /> <br />