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• <br /> Certification Regarding Lobbying <br /> Certification for Contractsk Grants,Leant, and Cooperative-Mreerrients <br /> The undersigned certifies, to the best of his or her knowledge and belief; that: <br /> • • (1) No'Federal appropriated funds have been paid or will be paid,by won behalf of the • • <br /> Undersigned, to tiny person for influencing or attempting to influence an Officer or <br /> employee of any agency, &Kelliher of Congress, an officer or employee of Congress,or • • • <br /> an employee Of a Member of Congress hi connection with the awarding of•any Federal <br /> control,the'molting of opy•-cooporative agreement, and the extension,Continuation, , • <br /> • • renewal,amendment, or Modification of any Feclerat contact, grant;loan or cooperative • <br /> . . <br /> agteernent. . • <br /> (2) If any funds Other than Federal appropriated funds.have been paid or will be.paid•to <br /> any poison for influeneirig ofatteMPlin$to inflitOriee an officer or employee ofany. • <br /> agency,a Metiiber-of Congress,an officer or employee of COngresa,,or nn employee oft <br /> MeMbet of COngreasin cottheotion with this Federal contract,grant„loan; or cooperative <br /> agrecingift,the:ionderalgried shall coMplete and submit.Standard Fortn-LLL, "...Disclosure <br /> Fenn to Report Lobbying?in accordauee.with itainstructionn, <br /> (3) The nude-Signed sholirequire that theiauggage of ibis certifieation be lacludectin the <br /> •aWarti dectIments fat all attbawarda at all tiers(including•subcontmettsubgrants,and <br /> contracts tinder groats,loans,and Cooperative agreements)and that all fittbtoWiietts shall <br /> certify and•diselose accordingly, <br /> This certification la•o;inaterialrePrasetnuttPaef.faet,upon which reliance was placed <br /> When this transeetion was.made-or entered-into, Submission ofthis cerfification is a <br /> prerequialtelor making or entari.49 into this.transOp.tion into$eithy'SbOtio0 1352,Title <br /> • 31,U S,Code. Any person who fails to file the requited certification shall be subject to <br /> • a civil penalty of not less thati.$10,006 and not more than$100,000 for each 8110 failure. <br /> . • <br /> • • • <br /> . , <br /> City of Santa Ana/Public Works Agency <br /> • Grantee/Contactor Organization • <br /> • Nabi 1.Saba .L.tt • <br /> Nan i0 of Certifying Officer 'Signature Date <br /> • <br /> • <br /> EXFILBIT D <br /> Page 1 of <br />