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The prospective participant certifles, by signing and submitting this bid or proposal, to the best of his or her <br />knowledge mid belief, that: <br />1. No federal appropriated finds have been paid or will be paid, by or on behalf of the undersigned, to <br />any person for influencing or attempting to infuence an officer or employee of any fedoral agency, a <br />Member of Congress, an officer or employee of Congress, or an employee of aMember ofCongress <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, cad the extension, oontinuation, <br />renewal, amendment, or to edification of any federal contract, giant, loan, or cooperative agreement, <br />2, 1f any funds other than federal appropriated fiords have been paid or will be paid to may 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,Coalgress, or an employee of a Member of Congress in <br />connection with this federal contract, grant loan, loan or 000porative agreement, the undersigned <br />oludi complete mid s0rult a"Disolosure of Lobbying Activities", <br />This cerdflcafon is antaterlat representation of fact upon which reliance was placed when this transaction was made <br />or entered Into. Submission of this certification 1s a prorequlsite for making or entering Into this transaction imposed <br />by Section 1852, Tido 31, U. S. Code, Any person who fails to filo the required certification shalt be subject to a civil <br />penalty of not less than $10,000 and not more than $100,000 for each such failare. <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 Us certification be included in all lower tion subcontracts, which exceed $100,000 and that all such sub <br />recipients shall oortify and disclose accordingly. <br />Signed andPrinted Name: <br />, <br />'title <br />Date <br />City of Santa Ana RFP <br />Page A3.2 <br />