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CITY OF SANTA ANA <br />PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL. STREET REPAIR -PHASE 15 <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 giA a up any part of the compensation to which he/she is otherwise entitled. <br />Signed <br />©1?°nv-r ?jrcrd?e 1/ <br />Title '?/ i?.v T'!'?S i .-1,oy?-F- <br />Firm R11 AyY1PV il?is?? f?-?;?Ci2l-1- <br />Date ?-e?or-?•o ?r?_c?l? sus ? 1 ? <br />TQ BE INCLITDED 1N BID PACKAGE <br />BP 13 of 29