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06/19/2018
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25E - AGMT - ON-CALL ENGINEERING SRVS
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Last modified
6/19/2018 10:21:24 AM
Creation date
6/14/2018 7:55:56 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25E
Date
6/19/2018
Destruction Year
2023
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1 5, A <br />rm <br />% - A ppetjdlx, <br />Al i:&I: NON <br />DDYING CERTIFICATION <br />bY$WOSOW"Mft*tNUdorproposW,totebestof hisorker, <br />Ww1odge and belief, that; <br />1. No fedora appropriated funds bavabeenpald or vdil bepald, by or DAbdWf of thoundersipecl, to <br />any person forialluoucing or ottemp* tojolloem on offlau or omployoof any faderg ggimy, a <br />Membor OfCongrass, an Am or omp" ofCanwerst or an employee ofa Member of Congws <br />In connection with the SWUrding Of Any Jb&r4l contract, the malcloo of wy-federa grant, to anift <br />of isky fedora lom the entering into of any cooperative algrosmant, and the Werwon, Continuation, <br />rvnevW, amendment, or modiffoadon of W fuleral venuvA grant, Joan, or cooperative sgr"aagatt, <br />2. if any funds other than federal appropriated Araft have boa pad or will be paid to oily person thr <br />hMwnft or attempting to Influonco my officer oromplayee of MW Nara agency, a Member of <br />C10090004 an officer or employee 017COVO4 ora nemploy" of a Member of Congress in <br />cooneationwith this fedwal coal" grantlawiloon,rocoopar tyoggroamont,liletnutersigned <br />shall vosaplete and submit a "I)Wosm of LobbyingAoMW. <br />TUS WrIlMettaft Is a MR10601 rePrOSCOWN Of fact upon W" rollanoe was placed when this usmaotlon Was made <br />or entered Into. Submission ofthis oartification is apriguinishe furmaking or sawft Into this tmilsootion imposed <br />bygeollon][352,Tble3l, U. S. Code. Any person who fRHs to Be therequked cerfinoolion shall be saujoetto, A olvg <br />P=11Y of"at Im than $10,000 and not mors than$100,000 fbemb such 1141ora. <br />The PrOsPoWvo paxtiolpantalso agrees by submitting W5 or her bid orproposa thathe or sho shall require that the <br />language of this m4flootion, be IncludW In all laworilor subcontracts, whichexceed $100,900 and that all such sub <br />reciplonts shall certify and disolose accordingly. <br />Stutec: Consulting Services Inc. <br />FEED DD+C. ENV SP <br />City of Santa Ana FF <br />Page A$-2 <br />25E-790 <br />
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