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CITY OF SANTA ANA <br />PROJECT NO. 10-6704: TRAFFIC SIGNAL INSTALLATION ON CIVIC CENTER DR 8r PACIFIC ST <br />PROJECT NO. 10-6705: TRAFFIC SIGNAL INSTALLATION ON 17TH ST 8c KING ST <br />PROJECT NO. 12-6763: BRISTOL ST BIKE LANE EXTENSION FROM EDINGER AV TO MCFADDEN AV <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" ct (18 USC 74) as supplemented in <br />the Department of Labor regulations (29 CFR, Part 3). Thi 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 a y rt of the com?pensa 'on to which he/she is otherwise entitled. <br />Signed ??-=s----? \\ <br />Title ?r <br />Firm Cctl?f?rY,?a? ?rp-?ssic??1 C ol?r??rr??n? <br />Date 5 12 <br />TO BE INCLUDED IN BID PACKAGE <br />BP 16 of 32