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CITY OF SANTA ANA <br />Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street <br />Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street <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 C.P, 111I;JWN, PREVENT <br />PAM IM <br />Firm P."•B PA1 M.3 rMAMMY <br />Date tv:AV = :£ 7014 <br />TO BE INCLUDED IN BID PACKAGE <br />BP 18 of 31 <br />