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® www.stcigeplusevents com Page 12 <br /> Certifications - Attachment A <br /> Proposers Certification and <br /> Pricing <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 1)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"rification prior to the submission of my proposal <br /> PROPOSERS STATEMENT: I have read, understood and agree to the terms and conditions on all <br /> pages of the Request for Proposals. Upon request, I wll transfer and deliver goods or services to the <br /> City in accordance with said terms and Conditions. <br /> J rje- Plus a 7iy-39o-ifs�� <br /> LEGAL NAM F COMPANY PHONE AND FAX NUMBERS <br /> 23 3o S• 5(,' s� A cA- 9iP 70y <br /> BUSINESS ADDRESS <br /> A anoe-,I <br /> PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> SIGNATURE OF A R17FD AGENT DATE E-MAIL ADDRESS <br /> 3Y-/9 dSS/oy <br /> FEDERAL ID NUMBER(IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br /> (IFAPPLICABLE) <br /> 3,;27577 <br /> CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br /> (PI FASF.PROWDr IF AVAJiA&E.BUr A'Qr REQUIRED UNFX AND If ANAWARD r5 I;rADE 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 /> cay d S-1.IV RIP No Y OCS Pope 27 or 29 <br /> )25 <br />