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CITY OF SANTA ANA <br />PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS <br />LOCATIONS) <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, Part 3). This act provides that each <br />contractor or subcontractor shall be prohibited from inducing, by any means, any person employed <br />in the. construction or repair of public work, to give up any part of the compensation to which he /she <br />is otherwise entitled. <br />Signed <br />Title '1�FZ�S1fl�1 -�"T' <br />Firm jG A��. -4 G� 'P 1 QG l� l r-S E ti \ N G - <br />Date �I11,2p`� <br />BP 12 OF 13 <br />