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r%- <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 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 /> . 14 r f r r✓� U` �tnrt e '. �Z "-max � — <br /> LEGAL NAME OF COMPANY PHONE AND fAX NUMBER I -- <br /> S' C- 04 nz"�� t <br /> k�> c 4 ,t'�- �t­ -�T��- <br /> BUSINESS ADDRESS <br /> [O"'t c,n CIV1.0 E)` pGu Pvc- f c� <br /> PRINTE10 <br /> AME OF AUTHORIZED AGENT TITLE <br /> C 4 tiJL Nt/�• d6 <br /> I URE OF AUTHO IZED AGENT DA E E-MAIL ADDRESS <br /> FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br /> (IFAPPLICABLE) <br /> 3 to <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. <br />