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CITY OF SANTA ANA <br />PROJECT NO. 09-3214 <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S 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 each <br />contractor or subcontractor shall be prohibited from inducing, by any means, any person employed <br />in the construction or repair of public yak, to give up any part of the compensation to which he/she <br />is otherwise entitled. ?1 n I \ <br />Signed <br />Title \ j l C?i `P?'OF? <br />Firm -S .1JE S { C-a ? ? GO tiL `?"C??-C'i t7??. , 'fir--Z. <br />Date ?. ?ZCo-2C?1? <br />TO BE INCLUDED IN BID PACKAGE <br />BP 12 OF 13