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QCITY OF SANTA ANA <br /> ATTACHMENT E <br /> NON-LOBBYING CERTIFICATION <br /> The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or <br /> her knowledge and belief,that: <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 of any Federal <br /> agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member <br /> of Congress in connection with the awarding of any Federal contract,the making of any Federal <br /> grant,the making of any Federal loan,the entering into of any cooperative agreement,and the <br /> extension,continuation,renewal,amendment,or modification of any Federal contract,grant,loan, <br /> or cooperative agreement. <br /> (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person <br /> for influencing or attempting to influence an officer or employee of any Federal agency,a Member <br /> of Congress,an officer or employee of Congress,or an employee of a Member of Congress in <br /> connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned <br /> shall complete and submit Standard Farm-LLL, "Disclosure of Lobbying Activities," in <br /> conformance with its instructions. <br /> This certification is a material representation of fact upon which reliance was placed when this transaction <br /> was made or entered into. Submission of this certification is a prerequisite for making or entering into <br /> this transaction imposed by Section 1352,Title 31,U.S.Code. Any person who fails to file the required <br /> certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for <br /> each such failure. <br /> The prospective participant also agrees by submitting his or her bid or proposal that he or she shall <br /> require that the language of this certification be included in all lower tier subcontracts, which exceed <br /> $100,000 and that all such subrecipl`ents shall certify and disclose accordingly. <br /> Signed: l { � ilk �121_0 <br /> Title: CY1canact mac, r41)"r" <br /> Firm: �O Scin4s� rcr�-�trl�, , 5Sacrrr� l LOB <br /> Date: [���o A� ES �025 <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />