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CITY OF SANTA ANA <br />PROPOSAL Add No. One <br />PROJECT NO.: 18-2681 <br />CENTENNIAL LAKE CIRCULATION RENOVATION <br />NONLOBBYING CERTIFICATION FOR FEDERAL -AID CONTRACTS <br />TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 <br />The BIDDER certifies, by signing and submitting this Proposal, to the best of his or her knowledge <br />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 any Federal agency, a Member of Congress, an officer or employee of <br />Congress, or an employee of a Member of Congress in connection with the awarding of <br />any Federal contract, the making of any Federal grant, the making of any Federal loan, the <br />entering into of any cooperative agreement, and the extension, continuation, renewal, <br />amendment, or modification of any Federal contract, grant, loan, or cooperative 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 Federal <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member 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 />of Lobbying Activities," in conformance with its instructions. <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 making <br />or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who <br />fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and <br />not more than $100,000 for each such failure. <br />The BIDDER also agrees by submitting his or her Proposal that he or she shall require that the <br />language of this certification be included in all lower tier subcontracts, which exceed $100,000 <br />and that all such subrecipients shall certify and disclose accordingly. <br />Signature: <br />Printed Name: Daniel Duarte <br />Title: President <br />Firm Name: CJw Construction, Inc. <br />P-23 of P-25 <br />