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(9) <br />CITY OF SANTA ANA <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 />LEGAL NAME OF COMPANY <br />BUSINESS ADDRESS <br />PRINTED NAME OF AUTHORIZED AGENT <br />SIGNATURE OF AUTHORIZED AGENT DATE <br />FEDERAL ID NUMBER (IF APPLICABLE) <br />PHONE AND FAX NUMBERS <br />TITLE <br />E-MAIL ADDRESS <br />CONTRACTOR LICENSE NUMBER <br />(IFAPPLICABLE) <br />CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br />(PLEASE PROVIDE IF AVAILABLE, BUT NOT REQUIRED UNTIL AND IFAN 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 />