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CITY OF SANTA ANA <br />RFP NO.: 19-032 <br />EMERGENCY WATER AND SEWER REPAIR SERVICES <br />NON -LOBBYING CERTIFIGATION <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the <br />best of his or her knowledge and belief, that: <br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of <br />theundersigned, to any person for influencing or attempting to Influence an officer <br />or employee of any Federal agency, a Member of Congress, an officer or employee <br />of Congress, or an employee of a Member of Congress in connection with the <br />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 <br />extension, continuation, renewal, amendment, or modification of any Federal <br />contract, grant, loan, or cooperative agreement. <br />(2) If any funds other than Federal appropriated funds have been paid or will be paid <br />to any person for influencing or attempting to influence an officer or employee of <br />any Federal agency, a Member of Congress, an officer or employee of Congress, <br />or an employee of a Member of Congress in connection with this Federal contract, <br />grant, loan, or cooperative agreement, the undersigned shall complete and submit <br />Standard Form-G1-L, °Disolosure of lobbying Activities," in conformance with its <br />instructions. <br />This certification is a material representation of fact upon which reliance was placed when <br />this transaction was made or entered into. Submission of this certification is a prerequisite <br />for making or entering into this transaction imposed by Section 1352, Title 31, U.S, Code, <br />Any person who fails to file the required certification shall be subject to a civil penalty of <br />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 <br />or she shalt require that the language of this certification be included in all lower tier <br />subcontracts, which exceed $100,000 and that all such subreciplents shall certify and <br />disclose accordingly, <br />Signed., <br />Title: President <br />Firm: Beyaz & Patel, Inc. <br />Date: November 14, 2019 <br />City of Santa Ana>- RFP 19-032 <br />Emergency Water and Sewer Repair Services <br />Page 1: of 35 <br />