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CITY OF SANTA ANA <br />PROJECT NOS. 11-6743 AND 11-6415 <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 work, to give up any part of the compensation to which he/she <br />is otherwise entitled. <br />Signed <br />Title <br />Firm �1,sy�vscN i3oeoryces Cvraa� ✓ccava x^.Va. <br />Date <br />TO BE INCLUDED IN BID PACKAGE <br />BP 15 of 17 <br />