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CITY OF SANTA ANA <br />PROJECT NO. 12 -7532: PLAZA SANTA ANA <br />PROPOSAL AND CONTRACT AGREEMENT <br />CERTIFICATION FOR FEDERAL AID CONTRACTS <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best <br />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 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, the <br />entering into of any cooperative agreement, and the extension, continuation, renewal, <br />amendment, or modification of an Federal contract, grant, loan, or cooperative agreement. <br />(2) If any funds other 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 <br />Member of Congress, an officer or employee of Congress, or an employee of a Member of <br />Congress in connection with Federal contract, grant, loan, or cooperative agreement, the <br />undersigned shall complete and submit Standard Form -LLL *, "Disclosure of Lobbying <br />Activities" in accordance 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 or <br />entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file <br />the required certification shall be subject to a civil penalty of not less than $10,000 and not more than <br />$100,000 for each such failure. <br />The prospective participant also agrees by submitting his or her 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 a ®ll such sub - recipients shall certify and disclose accordingly. <br />ca.Gc,. -- <br />BIDD_E / Signature <br />��Clf�l�'/�/c/� /Oyt, �- <br />Firm <br />O�/.1a0 /Z <br />Date <br />., l�'� ":: .. »t�:trane� ar F,'tA''ol�+�es ,.. , r .' ` � ,.. <br />�- „,�„ <br />TO BE INCLUDED IN BID PACKAGE <br />BP 26 of 30 <br />