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CITY OF SANTA ANA <br />PROJECT NO. 08 -1700, 12 -6421 AND 12 -6422 <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 <br />bid documents, agrees to comply with the Copeland "Anti- Kickback" Act (18 USC 74) as <br />supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that each <br />contractor or subcontractor shall be prohibited from inducing, by any means, any person employed <br />in the construction or repair of public work, to give up any part of the compensation to which he /she <br />is otherwise entitled_ <br />Sign <br />Title <br />Firm RII Ll�'l�ovicon �z.�1�d1 -1- <br />Date �3Or�o��E2t�� T�l� 1 � <br />TO BE INCLUDED IN BID PACKAGE <br />BP 19 of 20 <br />