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Public Contract Code Section 10162 Questionnaire <br />In conformance with Public Contract Code Section 1016.2, the Bidder shall complete, under penalty of <br />perjury, the following questionnaire: <br />Has the bidder, any officer of the bidder, or any employee ofthe bidder who has a proprietary interest in the <br />bidder, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, <br />state, or local government project because of a violation of law or a safety regulation? <br />Yes _ No V <br />If the answer is yes, explain the circumstances in the following space. <br />Public Contract Code 10232 Statement <br />In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of <br />perjury, that no more than one final unappealable finding of contempt of court by a federal court has been <br />issued against the Contractor within the immediately preceding two year period because of the Contractor's <br />failure to comply with an order of a federal court which orders the Contractor to comply with an order of the <br />National Labor Relations Board, <br />Note: The above Statement and Questionnaire are part of the Bid- Signing this Sid on the <br />signature portion thereof shall also constitute signature of this Statement and Questionnaire. <br />Bidders are cautioned that making a false certification may subject the certifier to criminal <br />Prosecution. <br />BID FORMS 00400-7 <br />REDWOOD CITY PAVEMENT PRESERVATION PROJECT <br />