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CITY OF SAINTA AiNA <br />PROPOSAL <br />PROJECT NO. 20-7530 <br />JEROME PARK BAI.,LFIELD L,IG111ING (WEST FIELD) <br />PUBLIC CONTRAC`f' CODF SECTION 10162 OUE�'I'IONNAIRE <br />In conformance with Public Contract Coale 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 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 J <br />If the answer is yes, explain the circumstances in the following space_ <br />City Council 11 — 27 5/18/2021 <br />P-16 of P-17 <br />