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CITY OF <br />PROJECT � NO. 16-6467 <br />♦ M <br />PROPOSAL <br />(ADDENDUM ONE — JULY 22, 2016) <br />,I'UBI,I C0N''R I' LON I01Ir2 �3t11.5"I'ION? AIRS, <br />In conformance with Public Contract Code Section 90162, the BIDDER shall <br />complete, under penalty of perjury, the following questionnaire <br />Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has <br />a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise <br />prevented from bidding on, or completing a federal, state, or local government project <br />because of a violation of law or a safety regulation? <br />Yes No <br />If the answer is yes, explain the circumstances in the following space. <br />i.ir� s5t <br />Sranlrz F,n.1 f rsre+�,� <br />a 1fiP,•4r" .:. =o];i For H�rjl7.��'i 0�4�y r7t �r� Iliv��n i ,i ! <br />'lac; <br />('t'¢4dl) � 7i.'.nh,r r .'1116 <br />23A -34 <br />