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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: '16-6871 <br />SAFE ROUTES TO SCHOOL ENHACEMENTS FOR KING ELEMENTARY <br />STATE PROJECT NO: ATPL- 5063(160) <br />STATEMENTREGARDING "ANTI-IUCKBACK" REQUIREMENTS <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 764) 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 rel , it of public work. to n've up any part of the compensation to <br />which he/she is otherwise enti led. <br />Signed: G — <br />Title: President <br />Date: 10/10(2016 <br />P-16 of P-17 <br />