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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15 -6839 <br />LOCAL STREET SLURRY SEAL 2014 -15 <br />STATEMENT REGARDING "ANTI- KICKBACK" REQILIREMENTS <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 'USG 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 to <br />which he /she is othezwise entitled. <br />Signed: <br />Title: EDWARD J. CARLSON, VICE PRESIDENT <br />Firm: ALL AMERICAN ASPHALT <br />Date: <br />BP 15 of 16 <br />23C -32 <br />