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CITY OF SANTA ANA <br /> Project No. 04-7711 Elder Avenue Improvements: Sullivan to Center <br /> Project No. 04-7712 La Verne Avenue Improvements: Sullivan to Center& Center Storm Drain <br /> Project No. 04-7713 Borchard Avenue Improvements: Sullivan to Center <br /> PROPOSAL AND CONTRACT AGREEMENT <br /> PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE <br /> In conformance with Public Contract Code Section 10162, the Bidder shall complete, under penalty of <br /> perjury, the following questionnaire: <br /> Has the bidder, any officer of the bidder, or any employee of the bidder who has a proprietary interest in <br /> the bidder, ever been disqualified, removed,or otherwise prevented from bidding on, or completing a <br /> federal, state, or local government project because of a violation of law or a safety regulation? <br /> Yes No <br /> If the answer is yes, explain the circumstances in the following space. <br /> TO BE INCLUDED IN BID PACKAGE <br /> BP 27 of 28 <br />