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CI"tY OF SANTA ANA <br />LOCAL STREET PAVEMENT REHABILITATION <br />RESIDENTIAL STREET REPAIR -PHASE IO <br />PRO.IECT NO_ 10-6707-C <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S S"fATEMEN"T REGARDING "ANTI-KICKBACK" RE ?UIREMENTS <br />The undersigned is submitting this proposal for performing by contract the work rccluirccl 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 he 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 .'????/ <br />Title. Steve Mefidoza, Secret <br />Firm R.J. Noble Company <br />Date 11/10/09 <br />TO BF_ INCLUDF,D IN BID PACKAGE <br />BP 13 of 14