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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 17-6875 <br />CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES <br />FEDERAL PROJECT NO: HSIPL 5063(188) <br />iTATEMFNT REGARDING "ANTI-TCItyKBACK" REOUIREMENTS <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 subcopkIactor shall be prohibited from inducing, by any means, any person <br />employed in the const ctio or repair of public work, to give up any part of the compensation to <br />which he/she is otherwt ntitled. <br />Signed: <br />Firm: International Line Builder's Inc. <br />Date: 10/30/2019 <br />P-15 ofP-38 <br />