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CITY OF SANTA ANA <br />Project 13 -6797 Maple Bike Trail Safety Enhancements At <br />Occidental Street, St. Andrew Place, and St. Gertrude Place; CM- 5063(119) <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 of his <br />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 employee <br />of any Federal Agency, a Member of Congress, an officer or employee of Congress, or an <br />employee of a Member of Congress in connection with the awarding of any Federal contract, <br />the snaking of any Federal grant, the making of any Federal loan, the entering into of any <br />cooperative agreement, and the extension, continuation, renewal, amendment, or modification <br />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 for <br />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 -LLU, "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 entering <br />into 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 dial, $100,000 for each <br />such failure. <br />The prospective participant also agrees by submitting his or her proposal that he or she shall require <br />that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and <br />that all such sub - recipients shall certify and disclose accordin 1 . <br />BIDDEit„S, RN , w >AJO <br />t EXCEL 3V0 V N8 <br />SEP - 9 2014 <br />Date <br />BP 22 of 26 <br />23BB -32 <br />