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NON -LOBBYING CERTIFICATION <br />The prospective participant certifies, by signing and submitting this 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, <br />to any person for influencing or attempting to influence an officer or employee of any Federal <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member <br />of Congress in connection with the awarding of any Federal contract, the making of any Federal <br />grant, the making of any Federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, <br />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 <br />connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall <br />complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities,' in conformance <br />with its instructions. <br />This certification is a material representation of fact upon which reliance was placed when this transaction <br />was made or entered into. Submission of this certification is a prerequisite for making or entering into <br />this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required <br />certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for <br />each such failure. <br />The prospective participant also agrees by submitting his or her 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 <br />that all such subr�all c y an disclose accordingly. <br />Signed: <br />Ti Moths Roberts <br />Title: Fresi ifnt <br />Firm: T.E. Roberts �nC. <br />Date: 1 D -101 12-01-0 <br />City of Santa Ana RFP 20-106 <br />Page Al-30 <br />ZS <br />