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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO, 15 -6828 <br />Harbor Boulevard Corridor Traffic signal Improvements <br />(as part of Harbor Blvd Traffic Signal Synchronization Project) <br />PUBLIC CONTRACT CODE SECTION 10162 CIUESTIONAIRE <br />In conformance with Public Contract Code Section 1 0162, the BIDDER shall complete, tinder <br />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 prevented <br />from bldding on, or completing a federal, state, or local government project because of a <br />violation of law or a safety regulation? <br />Yes � � No <br />If the answer is yes, explain the circumstances in the fallowing space. <br />BP -22 <br />23A -34 <br />