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DocuSign Envelope ID: 26A1 FOD6-5970-4421 -B5CB-2891848ECB74
<br />Exhibit 3
<br />CERTIFICATION REGARDING LOBBYING
<br />CERTIFICATION FOR CONTRACTS, GRANTS, LOANS,
<br />AND COOPERATIVE AGREEMENTS
<br />The undersigned certifies, to the 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 the
<br />undersigned, to any person for influencing or attempting to influence an officer or
<br />employee of an agency, a member of Congress, an officer or employee of Congress, or
<br />an employee of a Member of Congress in connection with the awarding of any Federal
<br />contract, the making of any Federal grant, the making of any Federal loan, the entering
<br />into of any cooperative agreement, and the extension, continuation, renewal,
<br />amendment, or modification of any Federal contract, grant, loan, or cooperative
<br />agreement.
<br />2. If any funds other than Federal appropriated funds have been paid or will be paid to any
<br />person for influencing or attempting to influence an officer or employee of any agency, a
<br />Member of Congress, an officer or employee of Congress, or an employee of a member
<br />of Congress in connection with this Federal contract, grant, loan, or cooperative
<br />agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure
<br />Form to Report Lobbying," in accordance with its instructions.
<br />3. The undersigned shall require that the language of this certification be included in the
<br />award documents for all* subawards at all tiers (including subcontracts, subgrants and
<br />contracts under .grants, loans, and cooperative agreements) and that all* subrecipients
<br />shall certify and disclose award documents for all* subawards at all tiers (including
<br />subcontracts, subgrants and contracts under grants, loans, and cooperative
<br />agreements) and that all* subrecipients shall certify and disclose
<br />award documents for all* subawards at all tiers (including subcontracts, subgrants and
<br />contracts under grants, loans, and cooperative agreements) and that all* subrecipients
<br />shall certify and disclose accordingly.
<br />This certification is a material representation of fact upon which reliance was placed when this
<br />transaction was made or entered into. Submission of this certification is a prerequisite for
<br />making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any
<br />person who fails to file the required certification shall be subject to a civil penalty of not less than
<br />$10, 000 and not more than $100,000 for each such failure.
<br />Grantee/Contractor Organization
<br />City of Santa Ana
<br />Name
<br />Kristine Ridge
<br />City Mane
<br />Title
<br />Au-thorized Signature
<br />Date
<br />®rre"-,[%
<br />a-% o a A.W%W W IF
<br />'Note: In these instances, "All," in the Final Rule is expected to be clarified to show that it
<br />applies to covered contract/grant transactions over $100,000 (per OMB).
<br />County of Orange Page 1 of 1 City of Santa Ana.
<br />OC Community Resources Contract # 19-28-0070-RWS
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