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DoaiSign Envelope ID: 49380AED-6969-41 D5-8269-70DB6B62F795 <br />CITY OF SANTA ANA <br />A17ACHMGN-C" A <br />PROPOSER'S CERTIFICATION, PROPOSAL PRICING <br />Certification - I certify that I have read, understand and agree to the terms and conditions of this Request <br />for Proposals. I have examined the Scope of Services (Exhibit 1) and am qualified to provide services <br />being requested as specified herein. I understand and agree that I am responsible for reporting any <br />errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. <br />PROPOSER'S STATEMENT: I have read, understood and agree to the terms and conditions on all <br />Pages of the Request for Proposals. Upon request, I will transfer and deliver goods or services to the <br />City in accordance with said terms and conditions. <br />E OF COMPANY PHONE AND <br />im (bI Erviviz,i!A 1�'w4 <br />BUSINESS ADDRESS <br />Pv)�Ai� V611M <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br />.- �1IZ�i jlI7ill�z <br />NATURE OF AUTHORIZED AGENT DATE E-MAIL <br />FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br />(IFAPPLICABLE) <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL, <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE <br />