Laserfiche WebLink
Cit of Santa Ana <br />Non -Lobbying Certlfloatlon <br />e1TXr1Ys IIFj(J N'f' 2. NQS jI(�1�3N}r►TQ0.CGRT1. CkT]ON <br />r r s :''f .''OG,XY&lX•`X[fe1,fXON9+ . <br />'rho prospective, partlolpflocoMflos, by signing mild submitting this bid or proposal, rn ilia beat orida or ho), <br />knowladgo slid belief, that; <br />1. Nofadandopp'ropijiswtnldelmvol 1,Midorwiilbnpnid,bywanbnludforUioundarsigned,10 <br />any <br />Poison <br />h1.1 influa' mtempling toktituatae an officer or to ofany fedornl ngeacy,t <br />Mengseror.Congrgas,annfacsrormnployaend,a ass,liranainployoaMalvamtnberprCoagas; <br />fnuonnwdonttihttthonwardlllyofaltyfadnnplconits <br />c6�oust sofanyfhdarrdgran4dtamaklnA <br />0 myfodadiloan, <br />ilia <br />untnringnasoofgnysgopsontivonipeano0 iliifhaaxmnsion'camtlnumttnn, <br />rwnew <br />al,,antenrinmaburmodit'00lfonofngyredal contran grant,loon,orcooporallveagraeawat <br />2. If MY funds other ihonfoderal appmp4ded finds have boon paid arwlll be paid to wry parsonfor <br />hili pancbts or mtemptingto Influence 14W Mace oraniployoo of Toy tbdeml agancy, Wambor of <br />Congress, an ohiccroremployee nrCangress, or an employes as Member of Congress In <br />oonnecam with titis iadlnra oonlireol, Aunt loan, loan orcoopemtivo'agynemonl, the undaesigned <br />shill complotu rued suiauh a"Dlsolosma ofLobbylpg A000fles't <br />'lads oc tiFlmnflon Is a motorist rnptosonlatlon oftbot upon wldehxelladoa' war plae09 when this tramawflon waemade <br />oronlored Into. Submission of this oarilkianlion Is q p iarequjotm 9hr makhng or entering Into Ibis tr nsaadoa Imposed <br />by Section 1232, Title 31, W, S, Code, Any pomOrl Vito fags to giotho mguhasl Uarll.floatfan ehnU ba sobjest to a civil <br />poolity of not loss than 510,000 and not mora lltao $$I00,000 tbraool, sucbfallum, <br />Tito prospective partrclpant also agents by aubueitflouUs or hatlM orproposet that ht of 61w shpil Yegn(rn Ilett Ilm <br />lmiguageorlhis certification be Included In all ]awerllsr nrhaoalreeta, vAildi exceed $700,000 and Ilint all quoit sub, <br />reolplmna sbail oanlfynnd disolnso accordingly, <br />gibawd and Printed Name:•M{ <br />Title So- Q Lce <br />x Al <br />Comprehensive. Innovative, Trusted. <br />I'll <br />Statement ofQualifioatlonsfor on -coil Engineering, 33 <br />RFP No, 17083 <br />