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CITY OF SANTA ANA <br /> PROPOSAL <br /> PROJECT NO.: 25-6030 <br /> TRAFFIC SIGNAL INSTALLATION AT SEGERSTROM AVENUE AND ROSEWOOD <br /> AVENUE <br /> STATEMENT REGARDING"ANTI-KICKBACK"REQUIREMENTS <br /> The undersigned is submitting this proposal for performing by contract the work required by these <br /> bid documents, agrees to comply with the Copeland "Anti-Kickback" Act (18 USC 74) as <br /> supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that <br /> each contractor or subcontractor shall be prohibited from inducing, by any means, any person <br /> employed in the construction or repair of public work, to give up any part of the compensation to <br /> which he/she is otherwise entitled. <br /> Signed: <br /> Title: <br /> Firm: <br /> Date: <br /> P-16 of P-19 <br />