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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO., 16-2671 <br />BOMO DORAL SIDEWALK RENOVATION <br />STATEMENT RE3GARDING ".ANTI-K.IC:K.BA.CK" RB UIRFMEI�I'fS <br />The Lmdersigned is submitting this proposal for performing by contract the work required by <br />these bid doownents, agrees to comply with the Copeland "Anti-Mckback" Act (1.8 USC 74) as <br />supplemented in the Departmant of Libor -regulations (29 CFR, Part 3). This act provides that <br />each contractor or subcontractor shall be prohibited from inducing, by any incans, any person <br />employed in the constr211, <br />r or repair of public work, to give tip airy part of the compensation to <br />which he/she is other n itA <br />Signed: f/ <br />Title; ;president: <br />Firm: Golden. State Constructors <br />Date: <br />2aA127 <br />