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CITY OF SANTA ANA <br />PROJECT NO. 10 -7558 CENTENNIAL PARK RESTROOM ROOF REPLACEMENT <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S STATEMENT REGARDING "ANTI- KICKBACK" REOUII2EMENTS <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 � �. � ��' <br />Title �. W.i-t -��` i <br />Firm S� /j �� /�l`�`� -�Q� �Q.j�tj��11�.� <br />Date 7� — L <br />TO BE INCLUDED IN BID PACKAGE <br />BP 13 of 29 <br />