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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 23-6700 <br />GRAND AVENUE REHABILITATION FROM EDINGER AVENUE TO MCFADDEN <br />AVENUE <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONv'NAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDER shall complete, <br />under penalty of perjury, the following questionnaire: <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a <br />proprietary interest in the BIDDER. ever been disqualified. removed. or otherwise pre%ented from <br />bidding on. or completing a federal. state. or local government project because of a violation of <br />law or a safety regulation:' <br />Yes No <br />XXX <br />If the ans«er is yes. explain the circumstances in the following space. <br />P-18 of P-19 <br />