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20B - AA - RESTROOM 3RD AND BIRCH
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06/21/2016
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20B - AA - RESTROOM 3RD AND BIRCH
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Last modified
7/28/2016 11:13:09 AM
Creation date
6/16/2016 3:09:04 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20B
Date
6/21/2016
Destruction Year
2021
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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16 -1305 <br />3Rb AND BUSH RESTROOM <br />PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br />under 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 K, <br />If the answer is yes, explain the circumstances in the following space <br />P -16 of P -16 <br />20B -29 <br />
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