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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 1.5-6840: WARNER AVENUE PAVEMENT MAINTENANCE <br />PROJECT NO. 16-6858., FIRST STREET PAVEMENT MAINTENANCE <br />PUBLIC CONTRACT_ GQDESECTION .I O l62 OUESTIdNNAIRE <br />In conformance with Public Contract Code Section 101162, the KIDDER shall complete, <br />under penalty of perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a <br />proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented <br />from bidding on, or completing a federal, state, or local government project because of a <br />violation of law or a safety regulation? <br />Yes No J <br />If the answer is yes, explain the circumstances in the following space, <br />P-17 of P-17 <br />