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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 19-6495 <br />FIRST STREET UNDERCROSSING STORMWATER LIFT STATION <br />STATEMENT REGARDING "ANTI -KICKBACK" 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 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 to <br />which he/she is otherwise entitled. 1 <br />Signed: ' /fir �4xa4nS h�a <br />Title: f j' <br />Firm: Lnaz L-0.14hiAA,=t-i4 CeTre�rgG , Fhc. <br />Date: t p _ 20 . 1012 <br />P-15 ofP-16 <br />