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CITY OF SANTA AAA <br />PROPOSAL <br />PROJECT NO.- 11-6413 <br />SA-5 VAULT MODIFICATIONS <br />STATEMENT REGARDING "ANTI -K I CKBACK" 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 "Anfl-Kickbacv Act (18 USC 74) as <br />swIpplemented 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 partof the compensation <br />to which he1slae therwise enti�0 <br />Signed: <br />7ftfe: <br />Firm: V-pbe Y- ' �z Inc � <br />Date. 1, S I- t] <br />P-15 Of P-16 <br />23A-23 <br />