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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 16 -2671 <br />BOMO KORAL SIDEWALK RENOVATION <br />STATEMENT REGARDING "ANTI - KICKBACK" REOUIREMENTS <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 (1.8 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 constracc�7� or repair of public work, to give up any part of the compensation to <br />which he /she is otherw,i�e. w itA d' <br />Signed: Il V VA,— <br />Title: President <br />Firm: Golden State Constructors <br />Date: 12/6/16 <br />23 127 <br />