|
The prospeattvaparrti�cipantcartiffe; by signing and sohmlitingibia bid or proposal, to ilio best of his or her
<br />irnowledgo and belief, that:
<br />I. No federal appropriated fends havaboon paid or will be paid, by or on behalf of the undersigned, to
<br />any person for influencingor attempting to influence anofacor or employee ofany federal aganoy, a
<br />Member ofCortgrees, an officer or employee of Congress, or an employee of a Member of Congress
<br />In oonnwwdonwith the awarding of any fbderal contract, the taking of any federal grant, the peaking
<br />efany federal loan, the v attiring Into of any cooperative agreement, acid the ecrtenslon, continuation,
<br />renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement,
<br />2, If any finds other than federal appropriated fands have been paid or wail be paid to any person for
<br />influencing or attempting to influence any officer cr employep of any federal agency, a Member of
<br />Congress, an officer or employee ofCougress, or an employee ofaMember of Congress; in
<br />connection with this federal contract, grant loan, loan orcooperatPve agreement, the undersigned
<br />sWl complete and submit a "Disclosure of Lobbying Aotivides",
<br />'Phis codification is amaterial representation of Phot upon whiohrolianoe was placed when this transaction was made
<br />Or entered into, Submission of this certification to aprerequisite firemakiugor entering into this transaction imposed
<br />by Section 1352, Title 31, U. S. Coda, Any person who fails to file the required certification slutllbe subject to I& civil
<br />Penally ofnot loss than $10,000 and not more than $100,000 for each silo], Abiluro,
<br />The prespootrvc participant also agrees by submitting his or her bid or proposal that he or silo shall require that the
<br />language of this certification be included In all lower tior subcontracts, which exceed $1oopo and haat ail such anb
<br />recipients shall cordty and disclose accordingly.
<br />yino liultt-Zollars,Inc
<br />Signed and Printed
<br />Title dice Manager and Vice President
<br />i pate March 20, 2018
<br />'' �;;uh�ii S'k n,,N� M*�;�H,.Q-rwusy.�r „•e+Gl,�.' ;fir"° €'n"kL��.m^"�.�Sy r � fS'r ® , rte �C' ,c" ^za+ e, s e+ ,G,.».
<br />AhiA4�5 A rh:.ln'C^ d�'rl�"�xt2vd`�..�i.iuY;�r rS:..dau'M-+... ,E;i.,..•:�rw�,.+.tdCo'.u'I��XN
<br />City cisanta Ana R P
<br />Page A3-2
<br />25E-247
<br />
|