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CITY OF SANTA ANA <br /> <br /> <br /> <br /> <br /> <br /> <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 /> <br /> <br />__________________________________________________________________________________ <br />LEGAL NAME OF COMPANY PHONE AND FAX NUMBERS <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />BUSINESS ADDRESS <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />PRINTED NAME OF AUTHORIZED AGENT TITLE <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />SIGNATURE OF AUTHORIZED AGENT DATE E-MAIL ADDRESS <br /> <br /> <br /> <br />__________________________________________________________________________________ <br />FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br />(IFAPPLICABLE) <br /> <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 /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />  <br />  <br />City Council 19 – 37 9/16/2025