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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-6870 <br />SAFE ROUTES TO SCHOOL ENHANCEMENTS FOR HENINGER ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(159) <br />PUBLIC CONTRACT CODE SEC'T'ION 10162 QUESTIONNAIRE- <br />In <br />UESTIONNAIRE <br />In conformance with Public Contract Code Section 10162, the BIDDEN 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 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 X <br />If the answer is yes, explain the circumstances in the following space. <br />P-17 of P-17 <br />