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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 10.6719 <br />TRAFFIC SIGNAL EQUIPMENT R'EPLACEMENT'PHASE If- BIKE TRAIL TRAFFIC <br />SIGNAL UPGRADES <br />PUBLIC CONTRACT CODE SECTION 101'62 QUESTIONNAIRE <br />In conformance with Public Con1'raat Code Section 1.0162, the BIDDER shall complete, <br />under penalty of perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, <br />proprietary interest in the BIDDER, ever been <br />from bidding on, or completing a federal, sta <br />violation of law or a safety regulation? <br />Yes <br />No X <br />or any employee of the BIDDER who has a <br />disqualified, removed, or otherwise prevented <br />e, or local government project because of a <br />If the answer is yes, explain the circumstances in the following space. <br />P-16 of P-16 <br />