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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 22-6970 <br />OMNIBUS CONCRETE REPAIRS <br />STATEMENT REGARDING "ANTI -I ICKBACK' 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 constriction or repair of public work, to give up any part of the compensation to <br />which he/she is otherwise entitled. <br />Signed: `[ " j <br />Title: Pas)ckrl-tL <br />Firm: Cr C�C1%1,C i't4--C [ ct7dq G f Ja✓J r 1/7 L'. <br />Date: <br />P-15 ofP-17 <br />