HomeMy WebLinkAboutK PROPOSAL FORM STATEMENT OF PAST CONTRACT DISQUALIFICATIONSJ. PROPOSAL FORM: STATEMENT OF PAST CONTRACT
DISQUALIFICATIONS
The proposer shall state whether it or any of its officers or employees who have a proprietary interest in
it, has ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal,
state, or local government project because of the violation of law, a safety regulation, or for any other
reason, including but not limited to financial difficulties, project delays, or disputes regarding work or
product quality, and if so to explain the circumstances.
Do you have any disqualification as described in the above paragraph to declare?
No
If yes, explain the circumstances.
Executed on June 12, 2026 at 3 p.m. under penalty of
perjury of the laws of the State of California, that the foregoing is true and correct.
Signature of Authorized Proposer Representative