Laserfiche WebLink
CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO.: 15-6834 <br />TRAFFIC SIGNAL MODIFICATIONS: 17TH STREET AT ENGLISH STREET, <br />MACARTHUR BOULEVARD AT PLAZA DRIVE, EDINGER AVENUE <br />AT SULLIVAN STREET, WESTMINSTER AVENUE AT CLINTON STREET <br />FEDERAL PROJECT NO: HSIPL 5063(156) <br />NON -LOBBYING CERTIFICATION FOR FEDERAL. AID CONTRACTS <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her <br />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 influence or attempting to influence aft offieer or employee of <br />Congress, or an employee of a Member of Congress in connection with the awarding of any <br />Federal 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, amendment or <br />modification of any Federal contract, grant, loan, or cooperative agreement. <br />(2) If any funds other than Federal appropriate funds have been paid or will be paid to any person <br />for influencing or attempting to influence au officer or employee of any Federal agency, a <br />Member of Congress, an officer or employee of Congress, or an employee of a Member of <br />Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the <br />undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying <br />Activities." in accordance with its instructions, <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 making or entering <br />into this transaction imposed by Section 1352, l'itte 31, U.S. Code. Any person who fails to file the required <br />certification sliall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each <br />Such failure. <br />The prospective participant also agrees by sub hitting his or her bid or proposal that he or she shalt <br />require that the language of t is certification b it (luded in all lower tier subcontracts, which exceed <br />$1ia <br />.00,000 and that all such su{-sec nt�s-shall• -,oegt�f and disclose accordingly. <br />Signed <br />Title <br />Firm California Professional Engineering Inc. <br />Date 05/04/2016 <br />Standard Form LLL may be obtained frmn Caltrans and FHWA offices. <br />P-24 of P-40 <br />