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0 <br />City of Santa Ana <br />ITEM 15: STATEMENT OF TRUTH <br />The undersigned hereby certifies on behalf of ('Proposer'), <br />and hereby declares under penalty of perjury under the laws of the State of California, <br />that the information provided by Proposer and contained in this bid to the (TBD) EMS 9- <br />1-1 Emergency Transportation Service RFP is accurate, complete, true and correct to the <br />best of our knowledge. We are aware that should any of the information contained herein <br />be found to be false, incorrect, or otherwise untruthful, or if the information contained <br />herein contains material misrepresentations and/or material omissions of fact, the City of <br />Santa Ana of Santa Ana may, at its sole discretion, pursue any and all remedies available <br />as authorized by law, which may include the right, at the option of the City, to either reject <br />or disqualify this bid proposal from further consideration in the course of the procurement <br />process and/or to declare any contract awarded as the result thereof void. Signed, this <br />day of 2018 in <br />California. <br />In the event that one of the above events occurs during the bid submittal date and contract <br />award, the new corporation/stockholder must provide a notarized statement stating their <br />agreement to the terms and conditions of the contract and prior to bid submittal without <br />exceptions. This must be received within 5 business days of the change <br />IF SOLE OWNER: <br />Signature of Owner <br />Print Name <br />IF PARTNERSHIP (JPA or merger): <br />Date <br />Signature of Partner (General Partner) Date <br />Print Name <br />IF CORPORATION: <br />Signature of President <br />Date <br />Print Name <br />City of Santa Ana Page 187 <br />Fire/EMS Emergency Ambulance Transportation and Related Services <br />Request for Proposals: # 18-059 <br />August 28, 2018 <br />w mb <br />