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<br />CITY OF SANTA ANA <br /> <br />RESIDENTIAL STREET REPAIR <br />RECONSTRUCTION -PHASE 12 <br />PROJECT NO. 106718 <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S STATEMENT REGARDING "ANTI-KICKBACK" REQUIREMENTS <br />The undersigned is submitting this proposal for performing by contract the work required by these bid <br />documents, agrees to comply with the Copeland "Anti-Kickback" Act (18 USC 74) as supplemented in <br />the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or <br />subcontractor shall be prohibited from inducing, by any means, any person employed in the construction <br />or repair of public work, to give up any part of the compensation to which he/she is otherwise entitled. <br />Signed ~'~l:A ~ <br />©eew- Gaza -e ~ <br />Title ~I C~2 P(P~! ~r°_V) <br />Firm <br />Date ___~ ('~~1 bar 15, ol,~c~~ <br />• <br />• <br />TO BE INCLUDED 1N BID PACKAGE <br />BP 13 of 14 <br />