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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 21-6466 <br />GROVEMONT STREET WATER MAIN IMPROVEMENTS <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 ublic work, to give up any part of the compensation to <br />which he/she is othe 'se entitled. <br />Sigtied: <br />Title: Pablo Viramontes / Vice President <br />Firm: Stephen Doreck Equipment Rentals, Inc. <br />Date: 09/28/2021 <br />P-16 ofP-18 <br />