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23A - CONTRACT AWARD KLASSIC
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23A - CONTRACT AWARD KLASSIC
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Last modified
1/11/2018 7:09:18 PM
Creation date
1/11/2018 6:27:33 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
1/16/2018
Destruction Year
2023
Document Relationships
KLASSIC ENGINEERING & CONSTRUCTION, INC.,
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Path:
\Contracts / Agreements\ PROJECTS
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EXHIBIT 16 <br />FEDERAL LOBBYIST REQUIREMENTS CERTIFICATION <br />Name of Firm: Klassic Engineering & Construction Inc Date: 11/14/17 <br />Address: 250 S. Tustin St. <br />State: Orange Zip Code: 92866 ^ Telephone; (.714) 369-8389 <br />Acting on behalf of the above-named firm as its Authorized Official, I make the following Certification to the <br />Department of Housing and Urban Development (HUU) and the Community Development Commission, County of <br />Los Angeles; <br />I) No Federal appropriated funds have been paid, by or on behalf of the above-named firm to any person for <br />influencing or attempting to influence an officer or employee of any agency, a Meittber of Congress, an <br />officer or employee of Congress, or an employee of a Member of Congress in connection with the <br />awarding of any Federal contract, the making of any Federal grant loan, or cooperative agreement, and any <br />extension, continuation, renewal, amendment, or modificationthereof; and <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 an officer or employee or any agency, a Member of Congress, an <br />officer or employee of Congress, or in employee of a Member of Congress in connection with this Federal <br />contract, grant, loin, or cooperative agreement, the, above-named ,firm shall complete and submit Standard <br />Forth—LLL, "Disclosure Fonn to Report Lobbying" accordance with its instructions; and <br />3) The above-named firm shall require that the language of this certification be included in the award <br />documents for all sub -awards at all 'tiers (including subcontracts,sub-grants, and contracts under grants, <br />loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly. <br />This certification is a material representation of fact upon which reliance was placed when this transaction was <br />made or entered into. Submission of this certification is a prerequisit@ for making or entering into the transaction <br />imposed by -Section 1352 Title 31 U.S. Code. Any person who fails to file the required certification shall be subject <br />to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. <br />Authorized Official: <br />Name: <br />Signatun <br />Title: C.E.O. <br />Date: 11/14/17 <br />_..._. F-kMCSTROPSVC L4UDFORXMWBU5BO4AVB.S.c .OSpO.DOC -- -- <br />23A-49 <br />
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