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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-7536 <br />MAIN LIBRARY ROOF IMPROVEMENTS <br />PUBLIC C0N't'RACTCQDESI:CTION 10162—QUt:S`r10N AAIRE <br />to conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br />tinder penalty of perjury, the fallowing 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 X <br />If the answer is yes. explain the circumstances in the following space. <br />11-15 of P•16 <br />