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Last modified
12/5/2019 10:48:54 AM
Creation date
7/24/2018 10:46:37 AM
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Contracts
Company Name
NV5
Contract #
A-2018-160-04
Agency
PUBLIC WORKS
Council Approval Date
6/19/2018
Expiration Date
6/18/2021
Insurance Exp Date
5/1/2020
Destruction Year
2026
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Tl�a prospagkLva pwtolpwtt cnrdfles, by skgntag aad tahmltdng thisbidor proposal, to Om bast of his or her <br />knowledge and belief, that; <br />1, NO Moral Appropriated funds haveany boon paid or will be Paid, by or On behalf Of the unsioraignad, to <br />Membeson ter inttuonolgg or ntiernpling to ln'dnanoe aupfAcgr ur employee ofany federal agpnny, a <br />Member of Congress, an officer or employee pf Congress. or an omployee of a Mealber afeurlI ass <br />iaooalneot10nWilli the awarding ofwavtederatManuel, the making nPmly Moral great, <br />ai,the m <br />of any federal loan, the entering into of any 000 araktvo flon, <br />' I renewal, aplanilnlant, or modification of any fedorol 0onh g M14 loan, or coo mr4tivo agroapront: <br />7. ffany funds uthor• than, fnda•alapprripriatadfoods have been paid OrMIIbepaid .tarinypeesoato,, <br />inftuen0og or attempting to Inflluan0o pay officer or oloployw of any fllilerat agency,yMago of <br />Congress, on of800r or einpoyan ofCortg,wsa, Or an employee .of, a Member of Congress In <br />ooln ecton with two federal eollftu , great loan, loan or Cooperative agraarnant, din rtndnrskgrtvd <br />shall enthIlIcle and, submit a "Disclosure of Lobbying AodvitleA'". <br />i <br />This cortuloatlw is a material representaton of feat upon vrhiob ratianea was placed whom this hansaction was:nrath <br />or entered lrto„4nbmission orthis oerdlic9lott ls_a prerequisite for making or enterine into this transaction imposed <br />by Saki' 052, TItto 31, U.-8, Coda, Any person who Win to Ala the required aertitiaaton slmil IV sut>ieotto aolvil <br />t penally Of not less than $10,000 and not mero till", $100,000 par each such ladjure. <br />The prosp08tive paltioipent also Aguas by sob 11141ag kris at bid or proposal that he or silo shall inquire that the <br />language ofithls•aortiSrati0h be inahrkled in of lower tiersubconttaCla, whobexowd$100,000 and thal.all suoh sub � I reciplOnts ABei110aift and disclose anuardingly, <br />'i <br />Signed amiPrinted Nmna:.,(,Ls Y Amlraa{.PP <br />.__. <br />Title Pringlpal•tn-CharoNiOe President ! <br />Data 03/D6/i9 <br />9, (t J�+� 7J YFa9<�lirv,�f, w�, <br />.,matt' <br />i <br />—TRYOf Santa Ana R P <br />Page A32 <br />i <br />
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