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CITY OF SANTA ANA <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />LEGAL NAME OF COMPANY PHONE NUMBER <br /> <br /> <br />__________________________________________________________________________________ <br />BUSINESS ADDRESS <br /> <br /> <br />__________________________________________________________________________________PRINTED <br />NAME OF AUTHORIZED AGENT TITLE <br /> <br /> <br />__________________________________________________________________________________ <br />SIGNATURE OF AUTHORIZED AGENT DATE E-MAIL ADDRESS <br /> <br /> <br />__________________________________________________________________________________ <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 /> <br />SMALL, LOCAL BUSINESS PREFERENCE <br />Is your firm claiming small, local business preference for this soliciation? <br /> Yes, my firm is a small Santa Ana business* <br /> Yes, my firm is a small Orange County business** <br /> No, my firm is not claiming local business preference <br /> <br />*Small Santa Ana business shall mean a business certified by the state department of general services as a small business, <br />which has a substantial presence through either a headquarters or branch office within the geographical boundaries of the <br />city, and which headquarters or branch office was established prior to the city inviting bids for the respective procurement. <br /> <br />**Small Orange County business shall mean a business certified by the state department of general services as a small <br />business, which has a substantial presence through either a headquarters or branch office within the geographical boundaries <br />of Orange County, and which headquarters or branch office was established prior to the city inviting bids for the respective <br />procurement. <br /> <br />IF YOU ANSWERED YES, THEN YOU MUST SUBMIT YOUR BUSINESS LICENSE AND CA DEPARTMENT OF GENERAL <br />SERVICES SMALL BUSINESS CERTIFICATION WITH YOUR PROPOSAL. A post office box address within the city shall <br />not qualify as a valid business location. <br /> <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br /> <br />ATTACHMENT A <br /> <br />PROPOSER’S CERTIFICATION <br />EXHIBIT 1