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CITY OF SANTA ANA <br />Projecl No1202: 2011.2012 Omnibus Concrete Replacement Comrmu <br />PROPOSAL AND CONTRACT AGREEMENT <br />BIDDER'S STATEMENT REGARDING "ANTI-KICKBACK" REQUIREMENTS <br />The undersigned is submi¢ing Ihlsproposal forperforming by conlracf the work required by these bid <br />doeumenls, agrees to comply wish [he Copeland "Anti?Kickbael?' Acl (18 USC 74) as supplemented in <br />[he Department of Labor regulations (29 CFR, Part 1). This act provides lhm each con[ramor or <br />subeonlractor shall be prohibited from inducing, by any means, any parson employ¢d in the eonslremiou <br />or repair of publlcwork, to giveup any parl of the compensation to which heashe is olher?ise entitled. <br />Signed <br />Title OMB- MR?o??, P(?51? i <br />Plan ?R?NROaN ?rJ6iN,a'l.S CO?i'fNJ?1aZS Cam, <br />Data I? ?L'(OP?? 201 <br />BP?U of 14