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CITY OF SANTA ANA <br />Project 13 -6797 Maple Bike Trail Safety Enhancements At <br />Occidental Street, St. Andrew Place, and St. Gertrude Place; CM- 5063(149) <br />PROPOSAL AND CONTRACT AGREEMENT <br />PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under <br />penalty of perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a <br />proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from <br />bidding on, or completing a federal, state, or local government project because of a violation of law <br />or a safety regulation? <br />Yes No <br />If the answer is yes, explain the circumstances in the following space. <br />BP 25 of 26 <br />23BB -35 <br />