Item 16 - On-Call Professional Land Surveying Services Agreements

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F �RW Johnson -Frank & Associates, Inc. On -Call Construction Surveying Services RFP No. 19-090 Santa Ana Public Works Agency Exhibit E — Non -Lobbying Certification Appendix ATTACHM ENT 3-2: NON -LOBBYING CERTIFICATION CERTIFICATIONS The prospective participant certifies. by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: 1. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress. an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract- the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension. continuation, renewal, amendment. or modification of any federal contract, giant, loan, or cooperative agreement. 2. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence any officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant loan, loan or cooperative agreement, the undersigned shall complete and Submit a -Disclosure of Lobbying Activities" - This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352. Title 31, U. S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 mid not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100.000 and that all such sub recipients shall certify and disclose accordingly. Firm Johnson -Frank & Assoc., Inc.. Signed and Printed Name: 15 L Alan D. Frank Title President Date October 22, 2019 City of Santa Ana RFP Page A3-2 5150 E. Hunter Ave. 31 Anaheim, CA 92807 (714) 777-8877 alanfrank@johnson-frank.com FAX: (714) 777-1641