My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
25N - AGMT - TESTING SRVS
Clerk
>
Agenda Packets / Staff Reports
>
City Council (2004 - Present)
>
2016
>
05/03/2016
>
25N - AGMT - TESTING SRVS
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/28/2016 3:23:22 PM
Creation date
4/28/2016 3:11:33 PM
Metadata
Fields
Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25N
Date
5/3/2016
Destruction Year
2021
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
124
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
H <br />I <br />�I <br />0 <br />Appendix —� <br />ATTACIEME,NT 3-2: NON -LOBBYING CERTIFICATION <br />CERTIFICATIONS _^ <br />GEOTECHNICAL, SPECIAL INSPECTION, & MATERIAL TESTING <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and <br />belief, that: <br />No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any <br />person for influencing 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 federal loan, the <br />entering 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 for <br />influencing or attempting to influence any officer or employee of any federal agency, a Member of Congress, <br />an officer or employee of Congress, or an employee of a 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 mhking or entering into this transaction imposed by Section <br />1352, Title 31, U. S, Code. Any person 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 certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub recipients shall certify <br />and disclose accordingly. <br />Firm <br />Ninyo & Moore Geotechnical and Environmental Sciences Consultants <br />Signed and Printed Name: <br />Title Principal Engineer <br />Date <br />January 27,2016 <br />Kurt S.'Yoshii <br />e <br />City of Santa Ana RFP 15-055 <br />Page A3-2 <br />25N-106 <br />
The URL can be used to link to this page
Your browser does not support the video tag.