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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 16-4509 <br />SANTA ANA POLICE STATION SOUTH ENTRANCE SECURITY IMPROVEMENTS <br />PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT <br />In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the <br />bidder Hereby declares under penalty of perjury under the laws of the State of California that the <br />bidder has _ , has not x been convicted within the preceding three years of any offenses <br />referred to in that section, including any charge of fraud, bribery, collision, conspiracy, or any <br />other act in violation of any state or Federal antitrust law in connection with the bidding upon, <br />award of, or performance of, any public works contract, as defined in Public Contract Code <br />Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including <br />the Regents of the University of California or the Trustees of the California State University. <br />The term "bidder" is understood to include any partner, member, officer, director, responsible <br />managing officer, or responsible managing employee thereof, as referred to in Section 10285.1, <br />Note: The bidder most place a checkmark after 'has" or "has not" in one of the blank spaces provided The above <br />Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also <br />constitute signature of this Statement, Bidders are cautioned that making a false certification may subject <br />the certifier to criminal prosecution. <br />P-16 of P-18 <br />23D-23 <br />