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CGitifoation Regarding Lobbying <br />Certification for Contracts Grants Loans and Coo erativ . ee ents <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br />(1) No ,Federal appropziated.funds have been paid or will be paid, by or on behalf of (lie <br />uoders,ignt4 to any person for infhieitc ng ar attempting to influence an. officer or <br />employee of ai y agency, a Member of Congress, wi officer -or employee of Congress, or <br />an employee of a .Member of Congress -in connection with the awarding of anyFederal <br />ct?rltract,. tale taing of any cooperative agreeitiertt, anti the extension, colitinuatima, <br />renewal, arnendinent, or modification -of any Federal contact, grant, :loan or coopergiye <br />agreeznert. <br />(2) If any funds other than Federal appropriated funds have been paid or will be -paid -to <br />an pefsvn for infiuenoing or'attempting to influonoe an officer Q emplQyce of any <br />agency, a Mernber-of.Congress, an officer or employee of Congress, Oran employee cif a <br />Meutber .of Congress ii, cdruiection with this Federal cons h-act, grant, loan; or cooperative <br />agreetnetit, to shall -complete and subinit Standard`Form ALL, "Disclosure <br />Form to Report Lobbying," in accordance with its. ynstructimis.. <br />(3) The undoi-signed shall require t7iat the.Ianguage of this cerkifi.cation be'included in the <br />award documentsfor all subawards at all tiers (including sub.contractt subgrants, and <br />contracts tuicler grants, loans, and cooperative agreements} and that all subreciAents shall <br />certify and disclose accordingly, <br />This certification is-n:anater al reliresentation , f.fact upon which reliance was placed <br />when this transactionw.as made or entered .into. Submission of this aettiflcatioil is a <br />prerequisite"for-making or,entcl'ing:injo this'txsnsaction imp©sed bylS'Won i352, Title <br />31, U. <br />S. Code, A.nyperson who fails to file the required certification shall be subject to <br />a. civil penalty of not less than $10,000 and not more than $1-00,0010 for each such failure. <br />City of Santa Ana / Public Works Agency <br />Grantee/Contactor Organization <br />Nabil Saba <br />Name of'Certifying Officer Signature <br />FXH[BIT D <br />Page 1 of 2 <br />Rafe <br />