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CITY OF SANTA ARIA <br />ATTACHMENT E <br />NON -LOBBYING CERTIFICATION <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or <br />her knowledge and belief, that: <br />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 <br />for influencing or attempting to influence an officer 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 this Federal contract, grant, loan, or cooperative agreement, the undersigned <br />shall complete and submit Standard Form-LILL, "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 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 bid or proposal that he or she shall <br />require that the language of this certification be included in all !ower tier subcontracts, which exceed <br />$100, 000 and that a I I such su brecipients shall cer,' y and disclose accordingly. <br />Signed.- Tim Burgess <br />Title- President <br />Firm- Inland Moving and Storage Co., Inc., IBA Burgess Moving and Storage <br />Date-2- <br />THIS IFORM MUST BE COMPLETED AND INCLUDED411TH THE PROPOSAL. <br />PROPOSALS. -THAT DO NOT CONTAIN THIS FORM WILL BE + ONSIDERED NONRESPONSIVE <br />RFP No. 23-058 Library Moving and Storage Set ice Page 38 of 40 <br />