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0 <br />City of Santa Ana <br />iv. The address and telephone number of the Proposer's headquarters and of <br />any local office involved in the bid proposal; <br />v. The Proposer's Federal Tax Identification Number; <br />vi. The name, address, telephone, fax numbers, and e-mail address of the <br />person(s) who will serve as the authorized contact(s) to the City/OCFA with <br />regards to the bid proposal, the RFP process, the Contract Documents, and <br />the administration of the contract, if awarded, with authorization to make <br />representations on behalf of and to bind the Proposer; <br />vii. Provide applicable authorized signature documentation, pursuant to <br />Proposer's organizational structure/bylaws, ,verifying the authority of the <br />person signing the original bid proposal to commit to the proposal on behalf <br />of the Proposer; <br />viii. A representation that the Proposer is in good standing in the State of <br />California and has obtained all necessary licenses, permits, certifications, <br />approvals,, and governmental authorizations necessary in order to perform <br />all of the required performance obligations specified herein; <br />ix. A representation that the Proposer is in good standing in the Medicare and <br />Medi -Cal programs and is not the subject of any pending actions, <br />investigations, or prosecutions, whether civil, criminal, or administrative, <br />relating to,their billing or reimbursement practices, and that Proposer has <br />not been excluded from any state or federal healthcare program or employs <br />any individual who has been excluded from any state or federal healthcare <br />program. <br />x. Statement of acceptance of all terms, conditions, requirements, and <br />performance criteria contained in the Contract Documents; and <br />City of Santa Ana Page 114 <br />Fire/EMS Emergency Ambulance Transportation and Related Services <br />Request for Proposals: # 18-059 <br />August 28, 2018 <br />19D-24 <br />