Laserfiche WebLink
The prospective participant cortfHes, by signing and submitting this bid or proposal, to the best of his or her <br />knowledge and belief, that: <br />1. No federal appropriated funds have been paid or will 'bepald, 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, a <br />Member of Congress, an officer or employee of Congress, or an employee of Member of Congress <br />In connection with the awarding ofany federal contract, the making of any federal grant, the making <br />of any federal loan, the entering into of my cooperative agreement, and the extension, continuation, <br />renewal, amendment, or modification ofany federal contmck grant, loan, or cooperative agreement. <br />2. 1f any funds other than federal appropriated fonds have been paid or will be paid to any person for <br />influencing or attempting to Influence any officer or employee ofany federal agency, a Member of <br />Congress, an officer or employee ofCongress, or an employee of a Member of Congress ht <br />connection with this federal contract, grant loan, loan or cooperative agreement, the undersigned <br />shall complete mid submit a'Disolosure of Lobbying Activitics". <br />This certification is a material representation of fact upon which (reliance was placed when this transaction was made <br />or entered Into. Submission of this certification 1s a prerequisite formaidng or entering into this transaction imposed <br />by Section 1332, Title 31, U. S. Code. Any person who fails to file the required certification shall be subject tort civil <br />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 site shall require that the <br />language of this cortiflcation be Included In all lower fter subcontracts, which exceed $1.00,000 and that all such sub <br />recipients shall certify and disclose accordingly. <br />Firm <br />Sign( <br />Titto_ VtoeProsldsnttContractingot8car <br />Date 3/1412018 <br />City of Santa no RFP <br />Page A3-2 <br />25E-416 <br />