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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 tluee, years of any offenses <br />referred to in that section, including any charge of fraud, bribery, collusion, 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 terns "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 mist place a cheolariarlc after "has" or "utas not" in one of the blank spaces provided The above <br />Statement is part of the Proposal, Signing this Proposal on the signature potdon thereof shall also <br />constitute signature of this Statement, Bidders aro cnutioned that making a false, certification may subject <br />the certifier to criminal prosecution. <br />P -I6 of P-18 <br />