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CITY OF SANTA ANA <br />PARKING LOT IMPROVEMENTS: 117530: 117534; 117535: 118014; 107560 <br />PARK IMPROVEMENTS: 107559; 112607; 117529 <br />PROPOSAL AND CONTRACT AGREEMENT <br />NONLOBBYING <br />CERTIFICATION FOR FEDERAL AID CONTRACTS <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the <br />best of 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 influence or attempting to influence an officer or <br />employee of Congress, or an employee of a Member of Congress in connection with the <br />awarding of any Federal contract, the making of any Federal grant, the making of any <br />Federal loan, the entering into of any cooperative agreement, and the extension, <br />continuation, renewal, amendment or modification of any Federal contract, grant, loan, <br />or cooperative agreement. <br />(2) If any funds other than Federal appropriate 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 Standazd Form-LLL, "Disclosure <br />of Lobbying Activities," in accordance with its instructions. <br />This certification is a material representation of fact upon which reliance was placed when <br />this transaction was made or entered into. Submission of this certification is a prerequisite for <br />making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person <br />who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 <br />and 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 <br />she shall require that the language of this certification be included in all lower tier subcontracts, <br />which exceed $100,000 and that all such sub-recipients shall certify and disclose accordingly. <br />BI S t e <br />T ?? <br />Firm <br />'`{ / A/.. <br />Date ?? <br />? Standard Form LLL may be obtained from Cal[rans and FHWA offices <br />BP 30 of 37