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CITY OF SANTA ANA <br />PR 106708. 106709. 106710 8z 10671 1 <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 <br />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, art 3). This act provides that each <br />contractor or subcontractor shall be prohibited from inducing, y any means, any person employed <br />in the construction or repair of public work, to give up any p of the compensation to which he/she <br />is otherwise entitled. i ~ I <br />Signed <br />Title ? r?S 1 <br />Firm CQ ??'n(l?? ? ?? dYIQ? ? ?-?\??(? ?YIC. <br />Date ?/1? / 1 \ <br />TO BE INCLUDED IN BID PACKAGE <br />BP 14 of 15