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CITY OF SANTA ANA <br /> PROPOSAL <br /> PROJECT NO.: 25-6030 <br /> TRAFFIC SIGNAL INSTALLATION AT SEGERSTROM AVENUE AND ROSEWOOD <br /> AVENUE <br /> PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE <br /> In conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br /> under penalty of perjury,the following questionnaire: <br /> Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a <br /> proprietary interest in the BIDDER, ever been disqualified,removed, or otherwise prevented from <br /> bidding on, or completing a federal, state, or local government project because of a violation of <br /> law or a safety regulation? <br /> Yes No <br /> If the answer is yes, explain the circumstances in the following space. <br /> P-18 ofP-19 <br />