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CITY OF SANTA ANA <br />PROJECT NO. 14-6812: LOCAL STREET SLURRY SEAL 2013-14 <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 9p any part of the compensation to which he/she is otherwise entitled. <br />Signedr/�r <br />Title <br />Firm <br />Date 5�14�1k <br />BP 13 of 14 <br />TO BE INCLUDED IN BID PACKAGE <br />