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ATTACHMENT 3 -2: NON - LOBBYING CERTIFICATION <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />ON -CALL RIGHT OF WAY SPECIALTY SERVICES <br />RFP NW 15 -044 <br />The prospective participant certifies, by signing and submitting this bill of proposal, to the best orhis or her knowledge sod <br />belief, that <br />1. No federal appropriated funds have been paid or will be paid, by or on behatfof the undersigned, to any <br />person for infltoncing or attempting to influence an officer or employee of any federal agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with <br />the awarding of any federal contract, the making of any federal grant, the making of any federalloan, the <br />catering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or <br />modification of any federal contract, grant, loan, or cooperative agreement. <br />2, If any funds other than federal appropriated funds have been paid or will be paid to any person far <br />influencing or attempting to influence any offieer or employee of any federal agency, a Member of Congress, <br />an officer or employee ofCongress, or an employee of Member of Congress in connection with this federal <br />contract, grant loan, loan or cooperative agreement, the undersigned shall complete and submit a "Disclosure <br />of lobbying Activities ", <br />This certification is a material representation of fact upon, which reliance was placed when this transaction was made or <br />entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section <br />1352, Title 31, US. Code. Any parson who fails to file the required certification shall be subject to a civil penalty of not less <br />than $10,000 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 she shall require that the language of <br />this certifcation be included in all lower tier subcontracts, which exceed $100,000 and that all such sub recipients shall certify <br />and disclose accordingly. <br />Signed and printed Name <br />Title � ' � �, J �J <br />Date <br />City of Santa Ana RFP 15.044 <br />Page 29 <br />25L -23 <br />