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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 lenns 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 rlarificatlon p1101 to the submission of my proposal. <br /> PROPOSER'S STATEMENT; I havo road, 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&G Industries Inc 714-903-2002 / 714-903-2003 <br /> LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br /> I <br /> 18627 Broolchurst SL #302 fountain Valley, CA 92708 <br /> BUSINESS ADDRESS <br /> James K Cain President <br /> PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> Ot cain@j-gindusL-ries.coin <br /> YATUREOFA'UTIdORIZED AGENT DATE E-MAIL ADDRESS <br /> 33-0343018 571859 <br /> FEDERAL ID NUMBER(IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br /> (IFAPPLICABI_E) <br /> 3.60248 <br /> CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br /> (PLEASE PROVIDE 1F AVAILABLE,BUT NOT REQUIRED UNTIL AND 1F AN AWARD IS MADE TO PROPOSER.) <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN TI•IIS FORM WILL BE CONSIDERED NONRESPONSIVE. 1 <br /> My of Sanla Ann RFP No.25-e27 Pape 33 of 41 <br />