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CITY OF SAN'T'A ANA 1 <br />PROPOSAL <br />PROJECT NO.: 16-6468 <br />SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 j <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 (18 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 contraction or repair of public work, to give up any part of the compensation to <br />which he/she is otherwise entitled. <br />Title: Reginald Kawale Kama IV- President <br />Pirm: AMPCO Contracting_ Inc <br />Date: June 28 2017 <br />P-16 of P-17 <br />23A-25 <br />