Laserfiche WebLink
•` ; , s . . �CER'CIF'�1C:�i'1�I�1FS �:- .r:. <br />The prospective participant certifies, by slgning and submitting this bid or proposal, to the best of his or her <br />knowledge and bene$ that: <br />I. No federal appropriated funds have been paid a will bepald, by oron behalf of the undersigned, to <br />any personfor influencing or attempting to influence an officer or employee of any federal agency, a <br />Member of Congress, an officer or employee of Congress, or an employee ofaMember of Congress <br />in connecdonwlththe awarding of any federal contact, the making of anyfedeml grant, the making <br />of any federal loan, the entering into of any cooperative agreement and the wdemion, amninuadon, <br />renewal, amendmem, or modification of any federal contact, grant, loan, or cooperative agreement. <br />2. Ifaay funds other than federal appropriated fiords have been paid or will be paid to am person for <br />Influeacivgor 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 Member ofCongr ss In <br />comrectlonwith this federal contract, grant loan, loan or cooperative agreement, the undemigned <br />shall complete and submit a "Disclosure of Lobbying Activities". <br />This unification is amaterial representation of feet upon which reliance was placed when this transaction was made <br />or entered into. Submission oftbis certification is a prerequisite for maldog or entering Into this transaction imposed <br />by Section1352,T111o31, U.S.Code. Any person who fails to file the required certification shall be subject to a oivil <br />penalty of not less than$10,000 andnot mom than 5100,000 for eachsuch failure. <br />The prospective participant also agrees by submitting his or her bid or proposal thathe or she shall require thatthe <br />language ofthis certification be included in all lower tier subcommets, which exceed $100,000 and that all such sub <br />recipients shall certify and disclose accordingly, <br />Firm <br />Signa <br />Tine <br />Date <br />CRY of Santa Ana RFP <br />Page A3.2 <br />Proposal for On -Call Right of Way Property Appraisal Services <br />RFP No. 18-082, City of Santa Ana <br />25J-68 <br />23 <br />