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!�+�y �^�pry,g g;sy, �y 9��.�ysyiy';Il"1114l1&�ByLgf�%�. ,may p,� �-e '�y ■ yg i+p�q <br />Ai iA.ir6A1Bi S.1V� 3-2a- NON-LiOBBPA NG'F.iatRTIV CA�.4AON <br />CITY OF BANTA ANA <br />REQUEST Frau PROPOSALS <br />FOR <br />PAV"FIVIFNI' NiAi*Ir1C:L+°14 ENT PROGRAM UPDATE <br />IMP NO.: 35-102 <br />The prospective participant ceaifres, by signing aul submitting this bid or proposal to liar: beat of or trot kumvicdge and <br />aOmf; flint:, <br />1. No ftdaral appropriated funds have liacea faii or %Nitl be paid, by or rm twhnlf oftho undersigned, to say <br />person for influencing or atteralwing to influence all officer or employee of any federal agency, a Member of <br />C ongress" art officer or cuip'loyee of Convess, or ars employee of a i4letrkbcr of ("anguiss in connection wide <br />Ute awarding of says federal connect, tire taaabrig of any ledend grant, the mabng ofaq federal loan, the <br />cratering aatia Oraay o jinacrrtivc afire nria tr. and the extension, cc mimnnioha reneevat, a nnaidwent.Carr <br />modification of any federal contract, brant; loan, or cooperative agraemeut. <br />2 If any funds Other Ulan federal appmpTaded finds have been paid or will In paid in any person for <br />intiluending or atteaxpting to influence any officer or employee of'ariy federal agency, a h eadtar ofCongrctia, <br />all officer ror' employee ofCongress,taxauemplaayecofa.Member ofCon ss in ronuccorin with this federal <br />contract grant loan. loran Of cooperath'o agmucrt, rise undersigned shall complete and submit a'Disclasure <br />of Lobbying Aoiivitiee% <br />about is a maternal representation of fact upon whielt reliance was plated when this transaction was trade or <br />, Sabitlissioa of Lois certification is a prcrtxluisite -for making or entering into suis transaction impar d by Section <br />31, US. Code. Any persalt who Faila to file the required restil cado x shall be setbject to a civil pcoattyF'Grnae less <br />'fire prospeolive participant also agrees by saabaziusag Its or llct bid or proposal that lie er she sie d) tequiru that the language of <br />this edatif`icutionbeincluded inall lower tiersub+ar unects,which exceed $t00,001) and that a ft such sub recipietatsshallratify <br />and disclose accordingly, ' <br />Finn 1,4v e,e'v4t- 1,all ft45-e4, wc"7vVV F At. s2 i <br />aifyrcdand Printed Name: .��� _ �.F.,� r" <br />111de <br />Date— <br />F51,",, <br />ate <br />C 71,",,, <br />C ity of uanta Ana RFP 15-102. <br />Page 23 <br />