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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 Work(Exhibit 1) 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 /> I�Wdk t l.0 <br /> LEGAL NAME OP COMPANY PHONE AND FAX NUMBERS <br /> V1l e. NOT000 f4UJ. 4e- DOD de. 10S <br /> BUSINESS ADDRESS <br /> _l , jv, Sk o1 Ain Uno <br /> rfidgmancq AdMI'n f9r4- <br /> PRINTE AME OF AUTHORIZED AGENT TIVFLE <br /> SIG ATUR F AUTHORIZED AGENT DATE E-MAIL ADDRESS <br /> FEDERAL ID NUMBER (IF APPLICABLE) CONTRACTOR LICENSE NUMBER <br /> (IFAPPLICABLE) <br /> CITY OF SANTA ANA BUSINESS LICENSE NUMBER <br /> (PLEASE PROVIDE IF AVAILABLE, BUT NOT REQUIRED UNTIL AND IF AN AWARD IS MADE TO <br /> PROPOSER.) <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL, <br /> PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL 13E CONSIDERED NONRESPONSIVE. <br />