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25F - AGMT COMMERCIAL INSPECTION CONSULT SVCS
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25F - AGMT COMMERCIAL INSPECTION CONSULT SVCS
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Last modified
5/31/2018 7:57:58 PM
Creation date
5/31/2018 7:48:06 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25F
Date
6/5/2018
Destruction Year
2023
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ATTACHMENT 3-2: NON -LOBBYING CERTIFICATION <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />COMMERCIAL / INDUSTRIAL INSPECTION AND <br />DATABASE MANAGEMENT CONSULTANT SERVICES <br />RFP NO.: 18-017 <br />The prospective participant certifies, by signing acid submitting this bid or proposal, to the best of his or.her <br />knowledge and belief, that: <br />No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to <br />any person for influencing or attempting to influence an officer or employee of any federal agency, <br />a Member of Congress, an officer or employee of Congress, or an employee of a Member of <br />Congress in connection with the awarding of any federal contract, the making of any federal grant, <br />the making of any.federal loan, the entering into of any cooperative agreement, and the extension, <br />continuation, renewal, amendment, or modification of any federal contract, grant, loan, or <br />cooperative agreement. <br />2. If any funds other than federal appropriated funds have been paid or will be paid to any person for <br />influencing or attempting to influence any officer or employee of any federal agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in <br />connection with this federal contract, grant loan, loan or cooperative agreement, the undersigned <br />shall complete and submit a "Disclosure of Lobbying Activities". <br />This certification is a material representation of fact upon which reliance was placed when this transaction was <br />made or entered into. Submission of this certification is a prerequisite for making or entering Into this transaction <br />imposed by Section 1352, Title 31, U.S. Code. Any person who falls to file the required certification shall be <br />subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the <br />language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such <br />sub recipients shall certify and disclose accordingly. <br />iT1 <br />Signed and Printed Name: <br />Title Principal Project Manager <br />Date March 30. 2018 <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />Attachment 3 - 2 <br />25F-41 <br />
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