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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 23-6700 <br />GRAND AVENUE REHABILITATION FROM EDINGER AVENUE TO MCFADDEN <br />AVENUE <br />STATEMENT REGARDING "ANTI -KICKBACK" REQUIREMENTS <br />The undersigned is submitting this proposal for performing b, contract the work required b} these <br />bid documents. agrees to comply with the Copeland "Anti -Kickback" :act (1 S 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. b) an means, and person <br />employed in the construction or repair of public work. to give up an% part of the compensation to <br />%hick he/she is other%ise entitled. <br />Signed: X <br />Title: <br />STEVE1ai . M DOZA, VICE PRESIDENT <br />Firm: <br />R.J. NOBLE COMPANY <br />P-16 of P-19 <br />