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CITY Of SANTA ANA <br />PROPOSAL <br />PROJECT NO, 15-6828 <br />Harbor Boulevard Corridor Traffic Signa; Improvements <br />(as part of Harbor Blvd Traffic Signal Synchronization project) <br />PUBLIC CONTRACT CODE SECTION 10162 QUESTIONAIRE <br />In conformance with public Contract Code Section 10162, the BIDDER shall complete, under <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 bidding 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 following space. <br />tap -22 <br />