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CITY OF SANTA ANA <br />PROJECT 03 -6367: SANTIAGO PARK VERNAL POOL <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 (I8 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 py n7A7 Ge <br />Firm �Fl- i�C�dC �g�, r <br />Date <br />_ / 2 <br />TO BE INCLUDED IN BID PACKAGE <br />BP 11 of 12 <br />