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The prospective participant certifies, by signing and submitting this bid or proposal, to the best 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 hifiuenoe an officer or employee of any federal agency, a
<br />Member ofCongress, an officer or employee of Congress, or an employee of a Member of Congress
<br />In connection with the awarding of any federal contract, the snaking 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 ofCongress, or an employee of aMember 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 cerdficaton 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 IM, Title 31, D. S. Code. Any person who We to file the required certifcation shall be subject to a civil
<br />Penalty of not less than $10,000 and not more than $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 for subcontracts, which exceed $100,000 and that all such sub
<br />recipients shall certify and disclose accordingly.
<br />Firm
<br />Signe
<br />Title Vice President
<br />Data March 20, 2018
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<br />City of Santa Ana RFP
<br />Page AS-2
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