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CITY OF SANTA ANA <br />ATTACHMENT E <br />NON-LOBBYI NG CERTIFICATION <br />he prospective partic ipant certifies, by sig ning and submitting this bid or proposa l, to the best of <br />his or her knowledge and be lief, that: <br />(1) No Federa l appropriated funds have been paid or wi ll be paid, by or on beha lf of the <br />undersigned , to any person for in fl uencing or attempting to in fl uence an officer or <br />empl oyee of any Federa l 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 Federa l contract, the making of any Federa l grant, the making of any Federal loan , <br />th e entering into of any cooperative agreement, and the extension , continuation , renewa l , <br />amendment, or modification of any Federa l contract, grant, loan, or cooperative <br />agreement. <br />(2) If any funds other than Federal appropriated funds have been pa id or will be paid to any <br />person for infl uencing or attempting to in fl uence an officer or emp loyee 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 Federa l contract, grant, loan , or cooperative <br />agreement, the undersigned sha ll complete and submit Standard Fo rm -LLL. "Disc losure <br />of Lobbying Activities ," in conformance with its instructions. <br />This certi fication is a materia l representation of fact upon which re liance 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, Ti tl e 31, U.S. Code . Any person who <br />fail s to fil e the required certification shall be subject to a civi l pena lty of not l ess than $10,000 and <br />not more than $100.000 for each such fai lure. <br />The prospective participant also ag rees by submitting his or her bid or proposa l that he or she <br />shall requi re that the l anguage of this certification be in cl uded in all lower tier subcontracts, which <br />exceed $100,000 and that all such subrecipients sha ll certify and discl ose according ly. <br />Signed : ~ <br />Ti tl e : <br />Firm : <br />Date : <br />Ch ief Executive Officer <br />Work i ng Wardrobes for a New Start <br />TH IS FORM M UST BE COMPL ETED AND I NCLUDED W ITH THE PROPOSAL. <br />PROPOSALS T HAT DO NOT CONTAI N TH I S FORM W ILL BE CONSIDERED <br />NON RESPONSI VE . <br />c ,ty of Santi! Ana RFP No , 25-0 19A Page 69 of 10 I <br />EXHIBIT 2 <br />  <br />  <br />City Council 10 – 213 7/1/2025