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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NC'. 15»0828 <br />Harbor boulevard Corridor Traffic Signal Improvements <br />(as part of Harbor Blvd Traffic Signal Synchronization Project) <br />STATEMENT REGARDING "ANTI -KICKBACK" RE2,U(REMENTS <br />The undersigned is submitting this proposal for performing by contract the work required by <br />these 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 <br />each contractor or subcontractor shall be prohibited from inducing, by any means, any person <br />employed in the construction or repair of public work, to give up any part of the compensation <br />to which he/she is otherwise entitled. <br />Signed: <br />G ego o man <br />Title: Vice sident <br />Firm: Asglundh Construction Corp <br />Date: Fe ruary 2.2, 2016 <br />HP -21 <br />