Laserfiche WebLink
The Prospective participant certMmq, by signing and submitting this bid or ixoposal, to the best ofhls or her <br />knourledge, and belief, that: <br />I- No Worst OPPrOPriated funds have been paid or will be paK by or on behatfofthp vodaraign4 to <br />mW person for Influencing or attempting to influence an rffiecr or employee ofany Weral agency, a <br />Member ofCongress, an officer or employee ofCongress, or an employee of it Member ofCoWess <br />in connection with the awarding of any fWand contract, the mWdng of any, federal grant, the muldog <br />ofacy federal loan, the entering Into ofany cooperative agreement, and the wdonsion, coulmustion, <br />renewul, amendment or modification ofany fe&ml contract Snug, loan, or cooperative agreement. <br />2. Itany funds other than fed" appropriatedfands have been paid or will be paid to any person for <br />Influencing or attempting to Influence any officer or employee of any fodend agency, a Member of <br />Congress, an Officer Or employee of Congress, or tin employee ofa Member ofCangrass in <br />cannection with this federal contract, grant losj�, loan or cooparallve agmanumt, the undersigned <br />shall complete and submit a "Disclosure of Lobbying Activides!'. <br />This cettification Is a material representation of fact open which reliance was placed when this transaction was made <br />or entered Into. Submission ofthis certification Is a preretlalsite for maft or entering into this transaction imposed <br />by Section 1352, Title 3 1, U. S. Code. Any person who falls to MO the TqWmd cerlification shall be subjert to a civil <br />penalty of not less than $10,000 and not more than S 100,000 for each such faflanc <br />The Prospective participant also agrees by subeitting his or her bid or proposal that he or she shall require that the <br />language of this certification be Included In all lower tior subcontracts, which oweed $100,000 and that all such sub <br />recipients shalt certify and disclose accordingly, <br />Firm, �%CxK Tv'%00%L�5 CAV%d. COM?krvi r-�L. <br />Signed and Printed Name: <br />Thle. <br />Dute—hso- cv-, 13 <br />City of Santa Ana F-P— <br />Page A3-2 <br />25E-641 <br />