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CITY OF SANTA ANA <br />PROJECT NO. 116737: SANTIAGO STREET REHABILITATION <br />SIXTH STREET TO SANTA ANA BOULEVARD <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S STATEMENT REGARDING "ANTI-KICKBACK" REOUIRFMFNTS <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 (1 S 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 />Title <br />Firm ? 1 ? {?? r ? ?? ? ??'? ?? ` ? <br />- ? ? cam( l <br />Date ? ? I ?'? ? 1 ? r <br />TO BE INCLUDED IN BID PACKAGE <br />BP 12 of 13