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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO,; 15 -6833 <br />TRAFFIC SIGNAGE UPGRADE <br />FEDERAL PROJECT N0; HSIPL 5063(157) <br />PUBLIC' CONTRACT CODE SECTION 10162 OUE5710NNAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, antler penalty <br />of perjury, the following quest' <br />onri.dre: <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 -16 of P -38 <br />23A -28 <br />