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NON -LOBBYING CERTIFICATION <br />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 />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any <br />person for 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 of a Member of Congress in <br />connection with the awarding of any Federal contract, the making of any Federal grant, the making of <br />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 an officer or employee of any Federal agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection <br />with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and <br />submit Standard Fornl-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. <br />This certification is a material representation of I'nct upon which reliance was placed when this transaction was <br />made or entered into. Submission of this certification is a prerequisite for making or entering into this <br />transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required <br />certification shall be subjccl to a civil penally of not less than $10.000 and not more than $100,000 for each <br />such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that <br />the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and dial all <br />such subrecipients shall certify and disclose accordingly. <br />I � <br />Signed: <br />Title: <br />Firm: �l It Ljali� Lf ��n Pc. rf7�i 1 Z � C <br />Date: Gg <br />City of Santa Ana RFP 18-064 <br />Page 32 <br />2MIT2 <br />