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20A - AA - BIKE LANES - 5TH ST
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05/02/2017
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20A - AA - BIKE LANES - 5TH ST
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Last modified
4/27/2017 3:32:54 PM
Creation date
4/27/2017 3:09:52 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
20A
Date
5/2/2017
Destruction Year
2022
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Appendix <br />ATTACHMENT 3 -2: NON - LOBBYING CERTIFICATION <br />CERTIFICATIONS <br />CONSTRUCTABILITY REVIEW <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the hest of his or her <br />knowledge and belief, that: <br />No federal appropriated funds have been paid or will be paid„ by or oft behalf of the undersigned, to <br />any person for influencing or attempting to influence an officer or employee of any fedeia] agency, a <br />Member of Congress, an officer or employee of Congress, or tan employee of Member of Congress <br />in connection with the awarding of any federal contract, the raking of any federal grant, the making <br />of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, <br />renewal, amcndntont, or modi ftcation of ary federal contract, grant, loan, or cooperative agreement. <br />2. If tiny finds other than federal appropriated fiords 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, n Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in <br />connection with this federal contract, grantloan, loan or cooperative agreement, the undersigned <br />shall complete and submit a "Disclosure of Lobbying Activities ". <br />This certification is a material representation of fact upon which reliance was placed when this transuction was made <br />or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed <br />by Section 1352, Title 31, U. S. Code. Any person who falls to file the required certification shall be subject to a civil <br />penalty ot'nat less than S 10,000 and not more than SI00,000 for each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that Ire or she shall require that the <br />language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub <br />recipients shall certify and disclose accordingly. <br />C Below tile. <br />Signed and Printed Name: <br />Title ChicrExecutiveorficer <br />Date 3/21/2017 <br />C,f >rou, Chris L.ocra <br />City of Santa Ana RFP <br />Page A3 -2 <br />20A -27 <br />
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