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ATTACHMENT B <br />BIDDER'S STATEMENT AND <br />COMPANY INFORMATION <br />A. COMPANY INFORMATION <br />Company Full Legal Name: <br />Business Address: <br />Southern California Address: (if different) <br />Website Address: <br />Length of time firm has been in business: <br />Type of business: <br />(LLC, Partnership, or Corporation) <br />If incorporated, <br />State of <br />Incorporation: <br />LOCAL VENDOR PREFERENCE <br />Please check the applicable category below. <br />❑ "Small" Santa Ana Business (7% preference) <br />❑ "Small" Orange County Business (4% preference) <br />❑ Other Santa Ana Business (1%preference) <br />❑ None Apply <br />City of Santa Ana Business License <br />Number: <br />Orange County City: <br />Business License No: <br />PUBLIC WORK CONTRACTOR INFORMATION (IF APPLICABLE) <br />CSLB Number(s): <br />DIR Registration Number: <br />Contractor's License Classification(s): <br />PROJECT MANAGER CONTACT INFORMATION <br />Name: <br />Phone: <br />Email: <br />CONTRACT ADMINISTRATOR CONTACT INFORMATION <br />(insurance and other administrative questions) <br />Name: <br />Phone: <br />Email: <br />BIDDERS STATEMENT: <br />With my signature I confirm that I am authorized to bind the company. By submitting this Bid, I confirm I <br />have read, understand, and accept the terms and conditions of this Invitation for Bid. Upon request, I will <br />transfer and deliver all goods to the City in accordance with said terms and conditions. <br />Signature <br />Title <br />Attachment B City of Santa Ana / Purchasing Page 1 of 2 <br />