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(:TIN OF SAN'F A ANA <br />PROPOSAL, <br />PROJECTNO 17-6802 <br />LINCO1,N AVE PL:[)ESl RIAN PATHWAY PARK I N. TO SANTIAGO CRIA:X <br />AT'Pl 5001(177) <br />PUBLIC CONTRACT CODt- SE T [ON 10162 OUES1 IONNAIRf <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 ernployee of the BIDDER who has a <br />proprietary interest in the BIRDER, everbeen disqualrlied, removed, or otherwise prevented from <br />bidding on, or completing a federal, state, or local government project because of a violation of <br />law or a safety regulation? <br />Yes No If <br />Il the answer is yes, explain the circumstances in the following space <br />City Council 16 — 58 4/6/2021 <br />P-I9 of 13-20 <br />