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CITY OF SANTA ANA <br />PROJECT NO. 12 -6758: TRAFFIC SIGNAL INSTALLATION ON FAIRVIEW ST & EDNA DR <br />PROJECT NO. 12 -6759: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & EUCLID ST <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 />Signec <br />Title <br />Firm <br />Date <br />W1�1 I �' <br />TO BE INCLUDED IN BID PACKAGE <br />BP 16 of 30 <br />