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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO. 14 -7516 AND 15 -7514 <br />RESIDENTIAL STREET REPAIR FY 13/14 & 1.4/15 <br />STATEMENT REGARDING "ANTI- KICKBACK" REQUIREMENTS <br />The undersigned is submitting this proposal for performing by contract the work required by <br />these 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 <br />each contractor or subcontractor shall be prohibited from inducing, by any means, any person <br />employed in the construction or repair of public work, to give up any part of the compensation <br />to which he /she is otherwise entitled. <br />Signed: <br />C.I f R `eJP?, ME&DENT <br />Title: <br />P , I, <br />Firm: EMEL PAVING C WA f <br />Date: MAR 19 8,15 <br />BP -14 of 15 <br />23A -28 <br />