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City of Santa Ana <br />RFP 18-009 <br />Services <br />Non -Lobbying Certification <br />Appleone <br />Hiring Made Human' <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or <br />her knowledge and belief, that: <br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, <br />to any person for influencing or attempting to influence an officer or employee of any Federal <br />agency, a Member orCongress, an officer or employee of Congress, or an employee of a Member <br />of Congress in connection with die awarding of any Federal contract, the snaking of any Federal <br />grant, the making of any Federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation, renewal, amendment, or modification of any Federal contract, grant, <br />loan, or cooperative agreement. <br />(2) if any funds other than Federal appropriated funds have been paid or will be paid to any person <br />for influencing or attempting to influence an officer or employee of any Federal agency, a <br />Member of Congress, an officer or employee of Congress, or ail employee of a Member of <br />Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the <br />undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying Activities," <br />in conformance with its instructions. <br />This certification is a material representation of fact upon which reliance was placed when this transaction <br />was made or entered into. Submission of this certification is a prerequisite for making or entering into this <br />transaction imposed by Section 1352, 'Title 31, U.S. Code. Any person who fails to file the required <br />certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for <br />each such failure. <br />71se prospective participant also agrees by submitting his or tier bid or proposal that Ire or she shall require <br />that the language of this certification be included in all lower tier subcontracts, which exceed 5100,000 <br />and that all such subrecipients shall certify rupd disclose accordingly. <br />Chief FinaTchil •r icer <br />Firer: _APS s • Hon tloyntcnt Services <br />Date; �7--;ZL-/ <br />City of Santa Ana RFP 1 "09 <br />Page 26 <br />Use or disclosure of data contained on this sheet is subject to the restriction on the title page of this proposal. <br />28 February 2018 Apple One Response to RFP #18-009 P a g e 115 <br />251-52 <br />