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CITY OF SAN'T'A ANA <br />PROPOSAL <br />PROTECT NO, 11-6740; BRISTOL, STREET IMPROVEMENTS AND WIDENING FROM <br />WASHINGTON AVENUE TO 17 TI STREET <br />PROJECT NO, 17-6472: BRISTOL STREET WATER MAIN IMPROVEMENTS FROM <br />WASHINGTON AVENUE TO 17TH STREET <br />PROJECT NO. 17-6473: BRISTOL, STREET SEWER MAIN IMPROVEMENTS FROM <br />WASHINGTON AVENUE TO 17T STREET <br />PUBLIC E <br />In conformance with Public Contract Code Section 10162, the BIDDER 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, over 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 X <br />If the answer is yes, explain the circumstances in the fallowing space <br />P-21 of P-291 <br />23A-41 <br />