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CITY OF SANTA ANA <br /> ATTACHMENT E <br /> NON-LOBBYING CERTIFICATION <br /> he prospective participant certifies, by signing and submitting this bid or proposal, to the best of <br /> his or her knowledge 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, <br /> the entering into of any cooperative agreement, and the extension, continuation, renewal, <br /> amendment, or modification of any Federal contract, grant, loan, or cooperative <br /> 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 prospective participant also agrees by submitting his or her bid or proposal that he or she <br /> shall require that the language of this certification be included in all lower tier subcontracts, which <br /> exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. <br /> Signed: �}� <br /> Y V ' <br /> Title: Chief Executive Officer <br /> Farts: Working Wardrobes for a New Start <br /> Date: <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED <br /> NONRESPONSIVE. <br /> Ci[y of Santa ulna RFP No.115-019A Page 69 of 101 <br />