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CITY OF SANTA ANA RE -BID <br />INSTRUCTIONS TO BIDDERS <br />PROJECT NO. 16-7523 <br />WASHINGTON SQUARE RESIDENTIAL STREET REPAIR <br />acceptable documentation of the quantity and value of any foreign steel prior to incorporating <br />such materials into the work. <br />CERTIFICATIONS STATEMENTS FORMS AND QUESTIONNAIRES <br />The City of Santa Ana, as AGENCY, will require prior to the award of any non-exempt, <br />Federally assisted construction contract or subcontract that each prospective contractor and <br />subcontractor submit the following Certifications, Statements, Forms and Questionnaires, which <br />are included in Appendix H (CDBG Requirements) of the Contract Documents: <br />• Equal Employment Opportunity Certification <br />• Debarment and Suspension Certification <br />• Bidder's Certificate of Compliance Regarding "Buy America" Requirements <br />for Steel or Manufactured Products <br />• Public Contract Code Section 10285.1 Statement 4V <br />• Public Contract Code Section 10162 Questionnaire <br />• Public Contract Code Sectioq 10232 Statement <br />✓ • Section 3 Contract Clause J <br />J • Section 3 New Hire Calculation Form ✓ <br />• Section 3 Employment Opportunity Notice <br />✓ • Section 3 Resident Certification Form <br />J • Section 3 Business Concern Opportunity Notice <br />• Section 3 Business Concern Eligibility Certification <br />• Section 3 Contractor Compliance Report <br />J • Section 3 Affirmative Action Plan R7 <br />'✓ • Section 3 Contract Award Consideration <br />• Women Owned/Minority Business Owned Enterprises (W/MBE) Good Faith <br />Efforts J <br />✓ • Certification for Applicable Fringe Benefit Payments <br />• Certification for Non -Segregated Facilities <br />✓• Noncollusion Affidavit 3 <br />• Federal Lobbyist Requirements Certification <br />J• Certification of Understanding and Authority <br />• ,Proof of registration in the System for Award Management (wm4,,s m.vo to be filed by <br />contractor <br />• Proof of registration in the D&B Data Universal Numbering System <br />(littm.,Ilivadate dnb rom/iUDdate/Com2any/ookuo.ht.mj <br />