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EXHIBIT L <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS FOR <br />SECURE BIKE PARKING FACILITIES <br />Installation and Service Agreement <br />RFP #13-019 <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of <br />perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest <br />in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a <br />federal, state, or local government project because of a violation of law or a safety io . <br />Yes No <br />If the answer is yes, explain the circumstances in the following space. <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 13-019 <br />Page 31 <br />25H-49