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CITY OF SANTA ANA <br />PROPOSAL. <br />PROJECT NO,146799; New Traffic Signal an Newhope St and Carni Ile St <br />PROJECT NO, 14.6800: Traffic Signal Mod if cation on Segerstrom Ave and Bear St <br />TITLE 49 CODE OF FEDERAL REGULATIONS PART 29 DEBARMENT AND SUSPENSION <br />CERTIFICATION <br />The bidder under penalty of perjury, certifies that except as noted below, he/she or any person <br />associated therewith in the capacity of owner, partner, director, officer, manager: <br />is not currently under suspension, debarment, voluntary exclusion, or determination of <br />ineligibility by any federal agency; <br />has not suspended, debarred, voluntarily excluded, or determined ineligible by any federal <br />agency within past three years; <br />has not been indicted, convicted, or had a civil judgment rendered against it by a court of <br />competent jurisdiction in any matter involving fraud or official misconduct within the past <br />3 years. <br />If there are any exceptions to this certification, Insert the exceptions in the following space,. <br />Exceptions will not necessarily result in denial of award, but will be considered in determining <br />bidders responsibility. For any exception noted above, indicate below to whom it applies, initialing <br />agency, and dates of action. <br />Note; Providing false information may result in criminal prosecution or administrative sanctions, <br />The above certification is part of the Proposal. Signing this Proposal on the signature portion <br />thereof shall also constitute signature of this Certification, <br />Name of BidderPTM neral Engineering Services, INc. <br />Signature of Bidde� E <br />.Mendoza de McRae <br />Date 0 5. 0 <br />President/CFO <br />