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25A - AGMT - CONSTRUCTION SURVEYING SRVS
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25A - AGMT - CONSTRUCTION SURVEYING SRVS
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Last modified
6/29/2017 2:56:08 PM
Creation date
6/29/2017 2:47:16 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25A
Date
7/5/2017
Destruction Year
2022
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ATTACMIENT 3-2: NON -LOBBYING CERTIFICATION <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her <br />know edge and belief, that: <br />1. No federal appropriated funds have been paid or will be paid, by or on behalf of 'Are undersigned, to <br />any person for influencing or attempting to influence an officer or, employee of any federal agency, a <br />Member of Congress, an officer or employee of Congress, or an employee of a Meutber of Congress <br />in connection with tic awarding of any fWoml contract, the making of any federal grant, the making <br />of any federal loan, the entering into of any cooperative agreement,. and the extension, continuation, <br />renewal, amendment, or modification of any (dderal contract, gran, loan, or cooperative agreement, <br />2_ If any finds odicrlhau federal appropriaiud funds have been paid or will be paid to any person for <br />influencing or attempting to influence anv officer or employee of any federal agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of Member of Congress in <br />connection faith thus federal contract, grant loan, loan or cooperative agreement, the undersigned <br />shall complete andsubmit a`°Disclosure of Lobbying Activities". <br />This certification is a material representation of fact upon which reliance was placed when this transaction was made <br />or entered into, Submission of this certiffeatlon is a prerequisite for making or entering into this transaction Imposed <br />by Section 1352, Title 31, U.S. Code. Any person who fails to Pile the requhvd certification shall be subject to a civil <br />penalty o£not less than 510,000 and not more than $100,000 for each such Allure. <br />The prospective participant also agrees by submitting bis or her bid or proposal that he or she shall require that the <br />language ofthis certification be included in all lower tier subcontracts, which exceed S 100,000 and that all such sub <br />rmipients shall certify and disclose accordingly. <br />Fitrn <br />Signed and Printed Name: F c / 14. A,. 6 F -CA � <br />Titlefi <br />Date t 41142- 01 <br />City of Santa Ana RFP <br />Page A3-2 <br />25A-22 <br />
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