25L - AGMT - ON-CALL RIGHT OF WAY SRVS

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ATTACHMENT 3 -2: NON-LOBBYING CERTIFICATION CITY OF SANTA ANA R QUEST FOR PROPOSAd S FOR ON- CAL,I, RIGHT OF WAY SPECULTY SERVICES 1IFP NO.: 15-144 The prospective participant certifies, by sighing and submitting this bid or proposal, to the best ofhls or her knowledge and belief, that: I. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, as officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding, of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification ofany federal contract, grant; loan, or cooperative agreement. 2. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempdngto influence any officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal coruracL grant loan, loan orcaoperative agreetuenk, the undersigned shall complete and submit a "Discloswe of Lobbying Activities" This cerhficafion is a material representation of fact upon which reliance was placed when this transaction was made at, entered into. Submission oftlts certification is a prerequi site for making or cntcring into this transaction imposed by Section 1352, Title 31,115, Code. Any person who Fails to file the required certification shall be subjact to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub recipients shall certify and disclose accordingly. Firm Donna Desmond Associates Signed and Printed Name: Date G €ty of Santa Ana l2FP 't5 -040 Page 29 25L -142