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CITY OF SANTA ANA <br />PROJECT 12-7527, 12-7528, 12-7529, 12-7530 <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 (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 <br />e'?? OG? <br />Firm 'f_?E PGeF'I;ztla ('t?E?PAIfi( <br />Date I I I N- 6 2012 <br />TO BE INCLUDED IN BID PACKAGE <br />BP 14 of 37