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Docusign Envelope ID: EFBAE12B-2D33-4288-BDF3-3F19BEEB5A9F <br />ATT ACHMENT A <br />PROPOSER'S CERTIFICATION, PROPOSAL PRICING <br />Certification - I certify that I have read, understand and agree to the terms and conditions of <br />this Request for Proposals. I have examined the Scope of Services (Exhibit l) and am <br />qualified to provide services being requested as specified herein. I understand and agree that <br />I am responsible for reporting any errors, omissions or discrepancies to the City for <br />clarification prior to the submission of my proposal. <br />PROPOSER'S STATEMENT: I have read, understood and agree to the terms and conditions <br />on all pages of the Request for Proposals. Upon request, I will transfer and deliver goods or <br />services to the City in accordance with said terms and conditions. <br />Converqint Technologies LLC <br />LEGAL NAME OF COMPANY <br />714-546-2780 <br />PHONE AND FAX NUMBERS <br />20 Centerpointe Dr. Suite 120 La Palma CA 90623 <br />BUSINESS ADDRESS <br />Bob Berkery <br />PRINTED NAME OF AUTHORIZED AGENT <br />9/2/25 <br />DATE <br />General Manager <br />TITLE <br />Bob.Berkery@converqinl'.(,gm <br />E-MAIL ADDR:ESS - <br />90-0881132 <br />FEDERAL ID NUMBER (IF APPLICABLE) <br />986407 <br />CONTRACTOR LICENSE NUMBER <br />(IF APPLICABLE) <br />18029650 <br />CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br />(PLEASE PROVIDE IF AVAILABLE, BUTNOTREQUIRED UNTIL AND IF AN AWARD /S 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 />RFP 25-109A City of Santa Aria Page 42 of 51