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- EXHIBIT B - FIELD PROPOSAL REQUISITION NO: JOB LOCATION p CITY OF SANTA ANA l j PURCHASING DIVISION M-16 20 CIVIC CENTER PLAZA P.O. BOX 1988 SANTA ANA, CALIFORNIA DUE DATE: THIS PROJECT IS FEDERALLY FUNDED, THEREFORE DAVIS BACON ACT WAGE RATE AND THE REHABILITATION ACT OF 1973 ARE APPLICABLE - $2,000 AND OVER. THIS PROJECT IS ON BEHALF OF THE REDEVELOPMENT AGENCY, REFERENCES TO THE CITY OF SANTA ANA SHALL BE DEEMED AS REFERENCES TO 'THE CITY OF SANTA ANA REDEVELOPMENT AGENCY." DEPARTMENT CITY COORDINATOR PHONE NUMBER JOB WALK DATE TIME BUYER WORK WILL COMMENCE WITHIN CALENDAR DAYS FROM DATE OF PAYMENT TERMS NOTIFICATION AND WILL BE COMPLETED WITHIN CALENDAR DAYS. As suppliers of goods or services to the City of Santa Ana, the firm listed below certifies that it does not discriminate in its employment with regard to race, color, religion, sex or national origin. That it is in compliance with all federal, state and local directives and executive orders regarding nondiscrimination in employment - and that it agrees to demon- strate positively and aggressively the principle of equal opportunity in employment.. BIDDERS STATEMENT: I HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND INSTRUCTIONS CONDITIONS ON THIS PROPOSAL FORM. UPON REQUEST, I WILL PROVIDE MATERIALAS SPECI- FIED, PERFORM LABOR IN ACCORDANCE WITH DRAWINGS, SPECIFICATIONS TERMS AND CONDI- TIONS AND COMPLETE WORK INAWORKMANLIKEMANNER. 1. PROPOSAL MUST BE ON THIS COMPLETE LEGAL NAME OF COMPANY BUSINESS ADDRESS PHONE NUMBER SIGNATURE OF AUTHORIZED AGENT, TITLE FEDERAL I.D. NO. CONTRACTORS LICENSE NO. DATE CLASS FORM. 2. COMPLETE SIGN AND RETURN PROPOSAL IN ENCLOSED ENVELOPE TO PURCHASING. 3. READ THE INSTRUCTIONS TERMS, AND CONDITIONS. 4. SUCCESSFUL BIDDER MUST COMPLY WITH SAMC CHAP TER 21 ARTICLES II, 1[[, IV REGARDING PAYMENT OF BUSINESS LICENSE TAX..