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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 15-6830: Pedestrian Countdown Heads and Push Buttons <br />BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS (Form FHWA- <br />1273 <br />The undersigned, is submitting this proposal for performing by contract the work required by <br />these bid documents, agrees to comply with the required Federal Contract Provision (Form <br />FHWA-1273) as shown in the Agpeendix F of the special provisions of this project. <br />Signed <br />'' • rer V <br />Title ►_.J j q c -b -c- u l� Sais1�c <br />Firm SIEMENS INDUSTRY, INC. <br />Date I7_— I — <br />BP -17 <br />