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Docusign Envelope ID:EFBAEI2B-2D33-4288-BDF3-3F19BEE85A9F <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 <br /> this Request for Proposals. I have examined the Scope of Services (Exhibit 1)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 /> Conver int Technologies LLC 714-546-2780 <br /> LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br /> 20 Centerpointe Dr. Suite 120 La Palma CA 90623 <br /> BUSINESS ADDRESS <br /> Bob Berkery General Manager <br /> PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> 9/2/25 Bob.B rk r convey in . <br /> SIGNATURE OF AUTHORIZ PADAGENT DATE E-MAIL ADDRESS <br /> 90-0881132 986407 <br /> FEDERAL ID NUMBER(IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br /> (IF APPLICABLE) <br /> 18029650 _ <br /> CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br /> (PLEASE PROVIDE IF AVAILABLE, BUT NOT REQUIRED UNTIL AND!RAN 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 /> RFP 25-109A City of Santa Ana Page 42 of 51 <br />