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CITY OF SANTA ANA <br />APPENDIX G <br />PROJECT NO.: 24-6045 <br />TRAFFIC SIGNAL INSTALLATION AT SEGERSTROM AVENUE AND SPRUCE STREET <br />Bid Protest Fee Payment Form <br />Any Bid Protest shall be required to include the payment of a nonrefundable fee of $1,936.00 as <br />referenced in the Project Specifications Section — Instruction To Bidders For Proposal <br />Submission — Bid Protest, a. Bid Protest Fee. <br />Payments must be made within normal Finance Cashier Hours (refer to website for updated <br />hours https://www.santa-ana.org//permits-counter/). Please bring completed form to the counter <br />along with the method of payment to continue the Bid Protest procedure. Any Bid Protest <br />submitted without proof of payment will not be reviewed and will be returned to the protesting <br />bidder. <br />Project Name: <br />Project Number: <br />Contractor Name (Payee): <br />Contractor Address: <br />Payment Amount: $1,936.00 <br />Account: 08617002-53748 <br />