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<br />CITY OF SANTA ANA <br />ATTACHMENT 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 I) 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 />J.K. Miklin, Inc. dba: Yamada Enterprises (714) 843-9882 (714) 843-9202__________________________________________________________________________________ <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br />16552 Burke Lane, Huntington Beach, CA 92647__________________________________________________________________________________ <br />BUSINESS ADDRESS <br />Jr Arroyo Representative__________________________________________________________________________________ <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br />July 15, 2024 jr@yamadaenterprises.com <br />_______________________________________________________________ <br />___ <br />SIG ORIZED AGENT DATE E-MAIL ADDRESS <br />33-0783690 582159__________________________________________________________________________________ <br />FEDERAL ID NUMBER (IF APPLICABLE)CONTRACTOR LICENSE NUMBER <br />(IFAPPLICABLE) <br />__________________________________________________________________________________ <br />CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br />(PLEASE PROVIDE IF AVAILABLE, BUT NOT REQUIRED UNTIL AND IF AN AWARD IS MADE TO PROPOSER.) <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />City of Santa Ana RFP 24-080A Page 33 of 42 <br />  <br />  <br />City Council 14 – 180 10/1/2024