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CITY OF SANTA ANA <br />PROJECT NO. 11-7508; LACY NEIGHBORHOOD SEWER AND WATER MAII?I <br />IIVIPROVEMENTS <br />PROPOSAL AND CONTRACT AGREEMENT <br />DISCLOSURE OF LOBBYING ACTIVITIES <br />fia..r.lw?n rhis fivwr m ii;ae?l..m lid.1..,:..e n.-N..:ti.w .....v.e..r r.. 17 7 7 C !` <br />N ??-- <br />7 ac?i /1fD Gsr B.lit??.?? <br />? o aF 2. Slates of Federal Action 3. Report : /jzn y. ne3 <br /> Q a. Bid/off'edapplil Q a initial <br />b. Clzaot b. initial award b. matrrial change <br />c. Cocpatate Agte®eoR c, Post-awaud <br />d Ban For Material ?Ee only: <br />e. I.aan ?anmee Year quailQ <br />£ Loan Instaance dale of lest <br />4. Name and Address ofRepostiog Entity 5. lfRepoa>mg Entity. inNo. 4 is Sllbawardee, En6er Name and <br /> Addtea4 ofPrime: <br />p Prime p s?tbwazdee <br />Tier .Ijlbrow.. <br />. lasown <br />blo?l+n <br />6: FadQal Dep?/Ageoty. 7. Federal Paogiam NamdDeseipdon <br /> CFDA I?hnnbQ If livable <br />8. Fedasl Action NtaaUea, ifJbaox+R 9. Award Amoaart, if, bso?a?s <br />,- <br />.: - _.. <br />- <br />$ <br />.... a. Name aad Ad?eas afLobbying Entity b. ml Pafo?tg Savices'(?i?ail?iig;; adi+??'?rfwnllbe <br /> <br /> <br />attach Cooti?mtion s if <br />11. Amoaart ofPaymrat: ( OaII <br />? <br />ap?ly) <br />13. Type <br />?(choc]c aII that apply) <br />A <br />l <br />p?d <br />O <br />? <br />? b. ooe-time fee <br />12. Farm ofPaymet>R (chec-]c all that apply): ? c. oa?on <br />? a. cash ? ? d eaeotitlg? fee <br />Q b. in-1®d; apecifY. nahac ? e. deLeaed <br />vahte £ other <br />14. B77efDesQlptlon of Services Ptrfotmed or do be perfo®ed al]d Date(s) of Service, iacLtding OgLOer(s? eQinlOyee(s), Ot member(s) cotataa6ed, far <br />Payment inlfiCated in itiem 11: <br />77#OCl! C071lDw/QdOVr s ' >'sPOees <br />15. Ce?aatian s at?ched: Yes No <br />16 f?t?th'sf?isa>dl®dby'IfAe31LJSCSactim <br />13SL'Il>ed'®dosaeef7diryi?ac?vitiesisam?aelaffacxtpan <br />whic37.tr]'t®aev?plemdbytbe tieraborewhmthe ?rSmwsmadeQ?aed <br />i>b?'IIsd'Bdoa=esacgs?dgaaatto3lUS.G13SLT1sidooz?mwiflbe ??N?e <br />npaledbthe?s?etalaltyandwiHbeavatleble?P;? i®pectim <br />A?.p®anovho?biiethes?iedder]oaae?flbesubjectbadvilpmaYyef Tiit? <br />?l?»ffialopooa?anotmod»?sloo?ooo??s,?hfa? <br /> T No. Date <br />_ _?lilee0oly. wlltlv>md thrlawt xep.o3atim <br />Send?dt+me-I3L <br />a <br />TO BE INCLUDED IN BID PACKAGE <br />BP 24 of 31