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<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 I) 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 clarification prior to the submission of my proposal. <br />PROPOSER’S STATEMENT: I have read, 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 />__________________________________________________________________________________ <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br />__________________________________________________________________________________ <br />BUSINESS ADDRESS <br />__________________________________________________________________________________ <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br />__________________________________________________________________________________ <br />SIGNATURE OF AUTHORIZED AGENT DATE E-MAIL ADDRESS <br />__________________________________________________________________________________ <br />FEDERAL ID NUMBER (IF APPLICABLE)CONTRACTOR LICENSE NUMBER <br />(IFAPPLICABLE) <br />__________________________________________________________________________________ <br />CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br />(PLEASE PROVIDE IF AVAILABLE, BUT NOT REQUIRED UNTIL AND IF AN AWARD IS MADE 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.