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TO BE USLD ROR TTDI9LALLY FUNDED PROJECTS ONLY <br />CITY OF SANTA ANA <br />PROJECT TITLE & NO. # <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS <br />(Form FHWA -1273) <br />The undersigned, is submitting this proposal for performing by contract the work required by these <br />bid documents, agrees to comply with the required Federal Contract Provision (Form FHWA -1273) <br />as shown in the appendix of the special provisions of this project. <br />Signed <br />Title �"..XGVL IWINII€ j CIOMi,PA!". I <br />Film <br />Date <br />BP 21 of 26 <br />23BB -31 <br />Cede MUM, PRESMENT <br />