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CITY OF SANT"A ANA <br />PROPOSAL <br />PROJECT NO, 09-3213 <br />CENTENNIAL PARK NEIGHBORHOOD WATER MAIN IMPROVEMENTS <br />PUBLIC CONTRACT CODE SECTION 1016?�UE5TIgNNAIRE <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 <br />from bidding on, or completing a federal, state, or local government project because of a <br />violation of law or a safety regulation? <br />Yes No-1� <br />if the answer is yes, explain the circumstances in the •Following space, <br />P-15 ofP-15 <br />23A-23 <br />