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CITY OF SANTA ANA <br />PROPOSAL, AND CONTRACT AGREEMFNT <br />Project No. 11 -2646: Fisher Park Butterfly and Bird Habitat <br />Project No. 13-7515: Centennial Park Slope Repair <br />1111F 49, CODE OF FEDERAL REGO LATIONS, PAKr 29 <br />DEBARMENT AND SUSPENSION CERTIFICATION <br />The BIDDER under penalty of perjury, certifies that except as noted below, he/she or any person <br />associated therewith in the capacity of owner, partner, director, officer, managec <br />is not currently under Suspension, debarment, voluntary exclusion, or determination of ineligibility <br />by any federal agency; <br />has not suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency <br />within past three years; <br />has not been indicted, convicted, or had a civil judgment tendered against it by a court of competent <br />jurisdiction in any matter involving fraud or official misconduct within the past 3 years. <br />If there are any exceptions to this certification, insert the exceptions in the following space. <br />Exceptions will not necessarily result in denial of award, but will be considered in determining <br />BIDDERS responsibility. For any exception noted above, indicate below to whom it applies, initialing <br />agency, and dates of action. <br />Note: Providing false information may result in criminal prosecution or administrative sanctions. <br />The above certification is part of the Proposal. Signing this proposal on the signature portion thereof shall <br />also constitute signature of this Certification. <br />FED,8-22-88 <br />Name of BIDDER H�q�nany, Inc. <br />BIDDER <br />Signature of BIDDF <br />TO BE INCLUDED IN BID PACKAGE <br />13P 20 of 29 <br />