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<br />CERTIFICATION REGARDING LOBBYING <br /> <br />This form is a certification of the prohibition on the use of federal funds for lobbying activities pursuant <br />to 31 U.S.C. 1352. This form is for any contracts, grants, loans and cooperative agreements involving <br />federal funds. <br /> <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br /> <br />1) 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 for any agency, a <br />Member of Congress, an officer or employee of Congress, or any employee of a Member of <br />Congress in connection with the awarding of any federal contract, the making of any federal grant, <br />the making of any federal loan, the entering into any cooperative agreement, and the extension, <br />continuation, renewal, amendment, or modification of any federal contract, grant, loan, or <br />cooperative agreement. . <br /> <br />2) If any funds other than federal appropriated funds have been paid or will be paid to any person for <br />influencing or attempting to influence an officer or employee of any agency, a Member of <br />Congress, or an employee of a Member of Congress in connection with this federal contract, <br />grant, loan, or cooperative agreements, the undersigned shall complete and submit Stand Form - <br />LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. <br /> <br />3) The undersigned shall require that the language of this certification be included in the award <br />documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under <br />grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose <br />accordingly. <br /> <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 or <br />entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who fails to <br />file the required certification shall be subject to a civil penalty of not less than $10,000 and not more <br />than $100,000 for each such failure. <br /> <br />Signature: <br /> <br />f2&~ <br /> <br />Print Name: <br /> <br />David Ream <br /> <br />Title: <br /> <br />City Manager <br /> <br />Name of Business: <br /> <br />City of Santa Ana <br /> <br />Date: <br /> <br />5/10104 <br />