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CITY OF SANTA ANA <br />PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S STATEMENT REGARDING "ANTI- KICKBACK" REOUIREMENTS <br />The undersigned is submitting this proposal for performing by contract the work required by these bid <br />documents, agrees to comply with the Copeland "Anti- Kickback" Act (18 USC 74) as supplemented in <br />the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or <br />subcontractor shall be prohibited from inducing, by any means, any person employed in the construction <br />or repair 11AAKA blic work, to give up any part of the compensation to which he /she is otherwise entitled. <br />Signed , C_ —. <br />Title <br />Firm <br />Date <br />TO BE INCLUDED IN BID PACKAGE <br />BP 13 of 14 <br />