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The prospective partleipanteartiffe%by signing and Minnitting it* bid or proposal, to the bestofh{s orber <br />knowledge and belief, that. <br />L. No federal appropriated funds have boon pold or will be paid, by or behalf of the undersigned, to <br />any10son for lniluenoingor attempting to inf lueneo an officer or employee ofany £adoral agency, a <br />Member ofCougrem, an officer or employee of Congress, or an employee dfaly bWber of Congress <br />In cotmectionwkth:thoawardinggofany fedorral emitmot fiaeaanakinga'fany.fedeaaigeant the making <br />of airy fedIoral loan, the ontorlp$ into of any cooperativeagreement,atut the extension, colntbulatiwn, <br />ronowal, amendment, or modification of any federal contract, grant, loan, or cooperativeagrmuouL <br />2. if any feuds other than foderal appropriatod Amds bave•boonpaid or will be paid to any person for <br />WrIonoing or attempting to influence any officer or employee ofanyf rol agency, amember of <br />Congress, an oftioer or employee of Congress, nr an employee of a Member of Congress itr <br />connoetion with06 Weral contraot, smut loan, loan jot cooperative sgroement, the underoignod <br />shall complete and submit a "Disoiosum of Lobbying Activities. <br />This cortifaoatton.is awaterlal reprventatton of Not upon v0ah reliance was placed when this 'tr•ansacdon was made <br />or entered into. Submissiohofttils certhioatioials aPrerequisite for making or entering Into this tranmctionimposed <br />by Sectlotr 1332, Title 31, U. S. Code. Any person who fails to file the roqul orl cortiilcation aball be subject to a civil <br />penalty ofnotless than $10,000 and not more than $100,000 for each suoh failure, <br />The prospective participant also agtves by subrriifiing iris or her bid or proposal that he or she shall require that the <br />language of this certification be Included in at lower,tiersubcontraots, whldhaxoeed $100,000 and that all such sub <br />reoipieats shall certify and disoloso a000rdingty. <br />f <br />Signed and Printed Name. <br />This. 'dice President <br />WA <br />Date March 20.2018 _ <br />I <br />.�v,F ';}}ar r <br />nJe YyryqRrNo?s$ n 't�a—i{Ij:''�fns{�wi t?C4;.�.,j,� ., w!' t�'S.0"�' • "�',;�" � '"�{ �';a" ,' :''^k�",, �' ;. <br />~�^•, <br />city at Santa Ana RFP <br />Poge AS 2 <br />