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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16-2651 <br />CIVIC CENTER RE-CAULI{ING EXPANSION JOINTS AT PLAZA OF THE FOUNTAINS <br />AND PLAZA OF THE FLAGS <br />STATEMENTREGARDING "ANTI -KICKBACK" 12EOUIRRMENTS <br />The undersigned is submitting this proposal for <br />these bid documents, agrees to comply with the ( <br />supplemented in the Department of Lab r regule <br />each contractor or subcontractor shat <br />employed in the constructioyror repai <br />which he/she is otherwise e/entitled, <br />Signed: <br />performing by contract the work required by <br />opeland "Anti -Kickback" Act (18 USC 74) as <br />too ,s-(29 CFR, Part 3). This act provides that <br />� inducing, by any means, any person <br />Five up any part of the compensation to <br />e prohibited fro <br />of public work, to <br />Title: % <br />Firm: lr. —4 , ec, 4a�`���r4�V'LCG�r�1% <br />Date: J �iz — z2 I In \ J <br />P-15 of P-16 <br />