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19. During the last five years, has there been more than one occasion in which the General <br />contractor or its associates have been penalized or required to pay back wages for failure to <br />comply with the federal Davis -Bacon prevailing wage requirements? <br />❑ Yes ❑ No <br />If "yes," on a separate page, describe the violator, nature of each violation, name of the <br />project, date of its completion, the public agency for which it was constructed, the number <br />of employees who were initially underpaid and the amount of back wages and penalties <br />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 <br />NONRESPONSIVE. <br />City of Santa Ana Unarmed Security Guard Services RFP <br />25K -59 Page 55 <br />