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25B - AGMT STORMWATER LIFT STATION
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07/17/2018
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25B - AGMT STORMWATER LIFT STATION
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Last modified
7/12/2018 5:31:44 PM
Creation date
7/12/2018 5:27:05 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25B
Date
7/17/2018
Destruction Year
2023
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Appendix <br />ATTACHMENT 3-2: NON -LOBBYING CERTIFICATION <br />CERTIFICATIONS <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the hest of his or her <br />knowledge and belief, that: <br />i, 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, a <br />Member of Congress, art officer or employee of Congress, or an employee of a Member of Congress <br />in connection with the awarding of any federal contract, the making of any federal grant, the making <br />of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, <br />renewal, amendment, or modification of any federal contract, grant, loan, or 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 made <br />or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed <br />by Section 1352, Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil <br />penalty of not less than $10,000 and not more titan $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 !fiat all such sub <br />recipients shall certify and disclose accordingly. <br />Signed and Printed Name: _ <br />Title Vice President <br />Date <br />May 21, 2018 <br />John Nagle, P.C. <br />® City of Santa Ana RFP <br />Page A3-2 <br />
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