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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15 -6834 <br />TRAFFIC SIGNAL MODIFICATIONS: 171 u STREET AT ENGLISH STREET, <br />MACARTHUR BOULEVARD AT PLAZA DRIVE, EDINGER AVENUE <br />AT SULLIVAN STREET. WESTMINSTER AVENUE AT CLINTON STREET <br />FEDERAL PROJECT NO: HSIPL 5063(156) <br />TITLE 49 CODE OF FEDERAL REGCILA'1`IONS. PART 29 DEBARMENT AND SUSPENSION <br />LIE <br />RFIHCA I ION <br />The bidder under penalty of perjury, certifies that except as noted below, he /she or any person associated <br />therewith in the capacity of owner, partner, director, officer, manager: <br />is not Currently under Suspension. debarment, voluntary exclusion, or determination of ineligibility by <br />any federal agency; <br />has not .suspended, debarred, voluntarily excluded, or determined ineligible by any 'federal agency <br />within past three years; <br />has not been indicted. convicted, or had a civil judgment rendered against it by a court of competent <br />jurisdiction in any matter involving fraud or official misconduct within the past 3 years. <br />If there are any exceptions to this certification, insert the exceptions in the following space <br />Exceptions will not necessarily result in denial of award, but will be considered in determining bidders <br />responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dates <br />of action. <br />Note: Providing false information may result in <br />The above certification is part <br />constitute signature Of (his Cer <br />Signet( <br />Title President <br />Firm California Professional Engineering, Inc. <br />Date 05/04/2016 <br />Prosecution or administrative sanctions. <br />this Proposal on the signature portion thereof shall also <br />P -23 of P -40 <br />2OD -38 <br />