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CITY OF SANTA ANA <br />Project No_ 13 -6780: 2012 -2013 Omnibus Concrete Replacement Contract <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 />subcontract r s be prohibited from indu by any means, any person employed in the construction <br />or repa� of p c wArk, to givey��ny o e compensation to which he /she is otherwise entitled. <br />Signed (/ ) %�.f/l /V / / / / /�/yiyy(/ <br />Title Steve Kirschner Vice President <br />Finn Hardy & Harper, 2nc. <br />Date sx / � n � � � <br />TO BE INCLUDED 1N BID PACKAGE <br />BP -14 of 15 <br />