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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.:15.6453 <br />RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVi MENTS <br />STATEMENT REGARDING "ANTI -KICKBACK" REOUIREMENTS <br />The undersigned is submitting this proposal for performing by contract the work required by <br />these bid documents, agrees to comply withtheCopeland "Anti -Kickback" Act (18 USC 74) as <br />supplemented in the Department of Labor regulations (39 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. <br />Signed, M,3k o titb V- M J- Gz <br />Title: a-e s ) d to I- <br />Firtm tl G14e,S n ,'30elyIan r- <br />Date: t I - I - on, <br />P-l6 otP-17 <br />