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23A - PROJ - STREET CURB RAMP IMPROVEMENTS
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07/16/2019
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23A - PROJ - STREET CURB RAMP IMPROVEMENTS
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Last modified
7/11/2019 5:30:27 PM
Creation date
7/11/2019 5:24:01 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
7/16/2019
Destruction Year
2024
Document Relationships
VIDO SAMARZICH, INC.
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Path:
\Contracts / Agreements\ PROJECTS
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EXHIBIT 16 <br />FEDERAL LOBBYISTREQUIREMENTS CERTIFICATION <br />Name of Firm; V10 �q� ,�t� , %fir Date: <br />Address: <br />_ 170�`C <br />t7(LG(NGS 11F ^�LF— / /� i I G <br />' .ct &4 <br />o IGR <br />State: <br />f, "T_ <br />Lip Code: M-701 <br />Telephone: <br />501-997-077 <br />Acting on be half of (lie above -named firm as its Authorized Official, I make the following Certification to the <br />Department of Housing and Urban Development (IIUD) and the Community Development Commission, County of <br />Los Angeles: <br />I) No Federal appropriated fiords have been paid, by anon behalf of the above-rnanied lirm to any person for <br />influencing or attempting to influence an officer or employee of any agency, a Member or Congress, an <br />officer or employee of ongress, or an employee of a Member of Congress it, co nnection Willi the <br />awarding of any Federal contract, the making of any Federal grant, loan, or cooperative agreement, and any <br />extension, confirmation, renewal, amendment, or modification thereof; and <br />2) If ally funds other than Federal appropriated flmds have been paid or will be paid to any person for <br />inluencing or attempting to influence im oflicef or employee or any agency, a Member of Congress, an <br />_ officer or employee of Congress, or in employee of aMember of Congress in connection wilt this Federal <br />contract, grant, loan, or cooperative agreement, the above -named firm shall complete and submit Standard <br />Forni—LLL, "Disclosure Form to Report Lobbying" in accordance with its instructions; and <br />3) The above -named firm shall require that the latiguage of this certification be included in the award <br />documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants; <br />loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly, <br />This certification is a material representation of fact 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 file transaetion <br />imposed by Section 1352 Tale 31 U.S. Code. Any person who fails to file the required certification shall be subject <br />to a civil penalty of not less than $10,000 and not more than $100,000 for each such faiko•e. <br />Authorized Official: <br />Name: ViUO. qgq �nek1 ]'itle: VtG _ riStL�Ki <br />Signature: Date: <br />F:aDOeSIPROPSVCSWUDFORMS%MBU5804AM6. Soalon9Spacs. DOC <br />23A-48 <br />
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