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' ` , ~ • <br />CITY OF SANTA ANA <br />Project No. 10-7554 Mid-City Neighborhood Improvement (west of Bristol St.) <br />Project No. 07-7577 Edinger Ave. Improvement from Mohawk St. to 400' e/o Mohawk St. <br />PROPOSAL AND CONTRACT AGREEMENT <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of <br />perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary <br />interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or <br />completing a federal, state, or local government project because of a violation of law or a safety <br />regulation? <br />Yes No <br />• If the answer is yes, explain the circumstances in the following space. <br />• <br />TO BE INCLUDED IN BID PACKAGE <br />BP 30 of 31 <br />