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If "yes," on a separate page describe the citation, the party against whom the citation was made, date of <br />citation, nature of the violation, project on which the citation was issued, owner of project, and the amount <br />of penalty paid, if any. State the case number and date of any decision. <br />19. During the last five years, has there been more than one occasion In which the General contractor or its <br />associates have been penalized or required to pay back wages for failure to comply with the federal <br />Davis -Bacon prevailing wage requirements? ❑ Yes Q No <br />If 'yes," on a separate page, describe the violator, nature of each violation, name of the project, date of <br />its completion, the public agency for which it was constructed, the number of employees who were <br />initially underpaid and the amount of back wages and penalties that were assessed. <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />District 4 Park Landscape RFP <br />Ppna 68 <br />