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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6848 <br />BISHOP-PACIFIC-SHELTON BIKE BLVDS <br />STATEMENTREGARDING "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 (I8 USC 74) as <br />supplemented in the Department of Labor regulations (24 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 otherwise entitled. <br />Signed: <br />Title: e -"P, fSBfJM",r11'1G`ni glli <br />Firm: ;".Xi: l> <br />Date: ,41 _ sI 2n1& <br />P-17 of 11-18 <br />23B-24 <br />