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CITY OF SANTA ANA <br />Project No. 15 -6824: 2014 -2015 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 />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 I <br />Firm IL:�ayi r- ta.00A'" ZYi�I iClr'2.rS C-- OnSA"�'Ll r IAVS cor4E�ora ,Ai ova <br />Date 0(51061Z-,014 <br />Zc] /4 <br />BP 16 of 17 <br />