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19 <br />rA <br />CITY OF SANTA ANA <br />ATTACHMENT <br />NON -LOBBYING CERTIFICATION <br />The prospective participant certifies, by signing and submitting this bid of proposal to the best of his or <br />her 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 inPluuenr_e 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 ban, the entering into of any cooperative agreement, and the <br />extension. continuation, renewal, amendment, or moci cation of any Federal contract gran loan <br />or cooperative agreement. <br />(2) If any funds other than Federal appropnated funds have been paid or will be paid to any person <br />for influencing or attempting to influence an ofrtcef or employee of any Federal agency a Member <br />of Congress, an officer or employee of Congress or an employee of a Member of Congress in <br />connection with ttus Federal contract, grant loan, or cooperative agreement, the undersigned <br />shag complete and submit Standard Form-LLL 'Disclosure of Lobbying Activities." in <br />conformance 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 unposed by Section 1352 Title 31. U S Code Any person who fails to file die required <br />certification shag be subject to a civil penalty of not less than S10.000 and not more than $100 000 for <br />each such failure. <br />The prospective participant also agrees by submdang his or her bid or proposal that he or she shag <br />require that the language of this certification be included in all lower tier subcontracts wNch exceed <br />S100,C00 and that all su'sybrecipients shag certify and disclose accordingly <br />Signed: <br />Title General Manager <br />Firm DTSA Services <br />Date January 7, 2023 <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM HALL BE CONSIDERED NONRESPONSIVE. <br />RFP No 22-168 Donnfoiwi Santa Ana Clean d Safe Team 42 <br />