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Exhibit 4 <br />CERTIFICATION REGARDING LOBBYING <br />CERTIFICATION FOR CONTRACTS, GRANTS, LOANS, <br />AND COOPERATIVE AGREEMENTS <br />The undersigned certifies, to the best of his 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 <br />employee of an agency, a member of Congress, an officer or employee of Congress, or <br />an employee of a Member of Congress in connection with the awarding of any Federal <br />contract, the making of any Federal grant, the making of any Federal loan, the entering <br />into of any cooperative agreement, and the extension, continuation, renewal, <br />amendment, or modification of any Federal contract, grant, loan, or cooperative <br />agreement. <br />2. If any funds other than Federal appropriated funds have been paid or will be paid to any <br />person for influencing or attempting to influence an officer or employee of any agency, a <br />Member of Congress, an officer or employee of Congress, or an employee of a member <br />of Congress in connection with this Federal contract, grant, loan, or cooperative <br />agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure <br />Form to Report Lobbying," in accordance with its instructions. <br />3. The undersigned shall require that the language of this certification be included in the <br />award documents for all* subawards at all tiers (including subcontracts, subgrants and <br />contracts under grants, loans, and cooperative agreements) and that all* subrecipients <br />shall certify and disclose award documents for all* subawards at all tiers (including <br />subcontracts, subgrants and contracts under grants, loans, and cooperative <br />agreements) and that all* subrecipients shall certify and disclose <br />award documents for all* subawards at all tiers (including subcontracts, subgrants and <br />contracts under grants, loans, and cooperative agreements) and that all* subrecipients <br />shall certify and disclose accordingly. <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 <br />making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any <br />person who fails to file the required certification shall be subject to a civil penalty of not less than <br />$10, 000 and not more than $100,000 for each such failure. <br />City of Santa Ana <br />Grantee/Contractor Organization <br />Name <br />Title <br />Authorized Signature <br />*Note: In these instances, "All," in the Final Rule is expected to be clarified to show that it <br />applies to covered contract/grant transactions over $100,000 (per OMB). <br />County of Orange <br />OC Community Resources <br />20A-52 <br />City of Santa Ana <br />Contract # 16-28-0039-RWS-P <br />