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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6834 <br />TRAFFIC SIGNAL MODIFICATIONS: 17Tn STREET AT ENGLISH STREET, <br />NIACARTHUR BOULEVARD AT PLAZA DRIVE, EDINGER AVENUE <br />AT SULLIVAN STREET, WESTMINSTER AVENUE AT CLINTON STREET <br />FEDERAL PROJECT NO: HSIPL 5063(156) <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty <br />of perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary <br />interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or <br />completing a federal, state, or local government project because of a violation of law or a safety regulation? <br />Yes No X <br />If the answer is yes, explain the circumstances in the following space. <br />P-18 of P-40 <br />