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CITY OF SANTA ANA <br />ATT ACHMENT A <br />PROPOSER'S CERTIFICATION, PROPOSAL PRICING <br />Certification - I certify thatl have read, understand and agreeto the terms and conditions ofthis Request <br />for Proposals. I have examined the Scope of Work (Exhibit l) and am qualified to provide services being <br />requested as specified herein. i understand and agree that I am responsible for reporting any errors, <br />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 />:dLiNzEq0a4M&Pi;tz Givhq L(,C-ph-,(ogc')3iq - sF7g <br />PHONE AND FAX NUM8ERS <br />BUSINESS ADDRESS <br />!il-;:!!Y4!!!'S'iTHoRlzEDAGENT ('ovpmc(!W,LaiaEnro';Ohnoncp%mianr <br />'S!!'ThAU!'OGEN1"liD"A!Eog s E-MAIL ADDRESS <br />3S-,2,2ffH\\\ <br />FEDERAL ID NUMBER (IF APPLICABLE)CONTRA!41bLICENSE NUM-M'ER <br />(IF APPLICABLE) <br />CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br />(PLEASE PROVIDE IF AVAILABLE, BUT NOT REQUIRED UNTIL AND IF AN AWARD /S MADE TO <br />PROPOSER.) <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE.