Laserfiche WebLink
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 />DISCLOSURE OF LOBBYING ACTIVITIES <br />Can nlP.iP rl.ic fnrrn rn Aicrln r lr?},L.v, rr: viNoc .. .,r rr, R1 T T C f` 1169 <br />1. Type of Federal Action 2. Status of Federal Action 3. Report Type: <br />Q a. Contract Q a. Bid/offer/application 0 a. initial <br />b. Grant b. initial award b. material change <br />c. Corporate Agreement c, post-awazd <br />d. Ban For Material Change only: <br />e. Loan Guarantee Yeaz quarter <br />f. Loan Insurance date of last re ort <br />4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawazdee, Enter Name and <br /> Address of Prime: <br />Prime Q Subwazdee <br />Tier , Iflozown <br />Con sional District, iflaeown Con ssional District, i lozown <br />6. Federal DepartrnenVAgency: 7. Federal Program Name/Description <br /> CFDA Number, If a licable <br />8. Federal Action Number, f Imowtx 9. Awazd Amount, if la?inwn <br /> <br />]O. a. Name and Address of Lobbying Entity b. Individual Performing Services (b??Ledbeg addmss¢'differ?TlfianxNo. <br />(¢rdn?adnj Ic?rrvre?.fo?Ml) IQz) <br />QasitTCnn?fisttimn? MI) <br />(attach Continuation Sheet(s) if necess ) <br />11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply) <br />$ Q Actual Q Planned ? a. retainer <br /> Q b. one-time fee <br />12. Form of Payment (check all that apply): Q c. commission <br />a. cash ? d. contingent fee <br />b. in-kind; specify: nature ? e. deferred <br />value Q f. other, s ec? <br />14. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for <br />Payment indicated in item 11: <br />(attach Continuation Sheet(s) i necessary) <br />15. Continuation Sheet(s) attached: ? Yes o <br />lfz Ir>ft>arrati?rarnTestedflaaagjithis fumis ??1-?aedbyTale 31 USC Section <br />1352. Thisdi?lnslaeoflobbyingactivitiesisaTrla??lrefaesa-?onoffacYUpcat Signatu - <br />whirhre]iarxEwas plaoedbythe fiaabove when the trarls?ctionwas made oren[aed <br />'?T."? <br />? S?? <br />into. T]tisclisclosiueisTagiucedg>ro,?r*to31 U.S.C.1352. Thisinfr>nn?onwillbe ? <br />Print N e eMr-- <br />reported mtheCongress senri-atmually and will be avat?ablefcspublic u>,?actiorL <br />Ti <br />l <br />? ? <br />AnypersatwhofailstofiletherequueddisclosrueshaIlbesubjecth?acivtlpenaltyof t <br />e . <br />not less tl>irzt$10,000 and notntotethan $100000 forearli such failrue. <br />-X <br />` <br />? <br /> \?'? <br />Tele honeNo?1`\-S <br />? Dateki-\43 <br />?? <br />I'E*da-dl jJee QnlSr Aurhori?xd for Local ReproducROn <br /> Standard Form-LLL <br />BP 31 of 37