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CITY OF SANTA <br />PROJECT O <br />. 16-6467 <br />SANTA ANA • .` <br />PROPOSAL <br />(ADDENDUM ONE —JULY 22, 201 6) <br />STATEMENT RWAWING`ikNI1,15!LKBA(,-K- RL.QtllFtEPVIt.N S <br />The undersigned is submitting this proposal for performing by contract the work required <br />by these bid documents, agrees to comply with the Copeland "anti -Kickback" Act (18 <br />USC 74) as supplemented in the Department of tabor regulations (29 CFR, Part 3). <br />This act provides that each contractor or subcontractor shall be prohibited from <br />inducing, by any means, any person employed in the construction or repair of public <br />work, to glue ''.any part f qpe compensation to which he/she is otherwise entitled. <br />Signed:' �,�p <br />Title: <br />Firm: S t;;=S "C_t' i <br />Date: <br />city of Santa AnA ; Prc vcl 13643467 &mtpi An � trr�fhr� al giver€.irrn Pfr,,? o HELM.)- October 7, 2415E <br />