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Tho prospectiva pauticlpant eertlfles, by slgning acid submittbtg this bid or proposal, to the Bost ofhls orher <br />knowledge and belief, that: <br />i, No Moral appropriated fltnds hava.bean paid or will be paid, by or on behalf ofthe undersigned, to <br />any porson for infAuenoing orattamptingietatfluonce an officer or employee of any federal agency, a <br />Mombor o£Conggrras$, an officer or employee ofCongness, oran employee of a Member of Congress <br />In connection with the Warding Of MV federal ooatteat, the tnakingofany fed oval grant, the making <br />Of any Moral Joan, theotatoring Into of any emperadve agreement, and the extension, continuation, <br />renewal, amendment, or modifloation ofany Word contract, gmnt,loan, or cooperativeogreemenf. <br />2. If any AMs other than federal appmpA*d;ft ehave been paid or will be paid to any person for <br />inilttenciugor attempting to In teime MY officer or employee of anyfedoratagency, aMember of <br />Congress, onoftJoororemployee ofCongroos, or an employee of MornberofCongaess in <br />connootion with this federal contract, grant loan, loam or cooperative "mont, the undersigned <br />shall complete and submit'a "Disclosure ofl obbying Activities", <br />This cortllioation is a material' roprasotntation of fast upon which reliance was plaeod when.tld's transaction was made <br />or entered into, Submisslon of tlrls cortitloetion Is a prerequisite for making or entering into this transaction imposed <br />by Section 1332, Thio 31, U.S. Code. Any person who falls to fila tho required cortifioatlon shalf be subject to a oivll <br />penalty of not tess'than $10,000 and not tuorothan$100,000 foreaeh such falhare. <br />Tho prospective partialpant also agrees by submitting his or horbid or proposal that he or she shall mquIro t1mtthe <br />language of this cordfloution be included In all lower tiorsubc:ontracts,which exceed $100,000 and that all such sub <br />recipients shall car" and dlsoloie a000rdingty. <br />Firm <br />nigra <br />Title_, a7�jTf <br />Date <br />�c�;sY xry ik� t y: 1, stf re;.•rwC t ,r:'.. 'm. l�Ai �C .<7:xAZ, x s=..F. t �.k� � , 5:..i av »»tix'N �. y �t ; <br />Cityot Santa Ana RFP <br />Page A3-2 <br />25E-417 <br />