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25D - AGMT - LIGHTING ROSS ANNEX PARKING
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25D - AGMT - LIGHTING ROSS ANNEX PARKING
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Last modified
11/15/2018 9:18:03 PM
Creation date
11/15/2018 9:12:47 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Finance & Management Services
Item #
25D
Date
11/20/2018
Destruction Year
2023
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APPENDIX <br />ATTACHMENT3-2: NON -LOBBYING CERTIFICATION <br />CERTIFICATIONS <br />CITY OF SANTA ANA <br />REQUEST I'OR PROPOSALS <br />POR <br />ROSS ANNEX PARKING GARAGE ENERGY LIGHTING RETROFIT <br />RFP NO.: I8-070 <br />The prospective pirlicipatn certifies, by signing and submitting this bid or proposal, to the best nl'his or her knowledge and <br />heliel: that: <br />I. No federal appropriated finds have leen paid or %%i II be paid. by or on behalf of the undersigned, to any <br />Pelson for influencing or attempting to in0ucnce an officer orentployce ofany federal agency, it member of <br />Congress, an ole icer or employee of Congress, or an employee of a \leather of Congress in connection with <br />the awarding ofany federal contract, the staking of any Icdertl ;rant. the making ol'mty federal loan, rile <br />entering into ofany coupemike agreement, and file extension, continuation, renewal. amendment, or <br />modification ofany lWeml contract, grant• luau, or cooperative agreement. <br />2. If any funds other than federal appropriated fiords have been paid or will be paid to tmyyperson for <br />influencing or altcmpfina to influence any officer or employee orally federal agency, a Member of Cong=rens• <br />an officer or employee of Congress, 01 -nn employee ofa ��\4entber of Congress in connection with this federal <br />contract, grant loan, loan or cooperative agreement. the undersfgne 1$1x11 complete anti submit a Disclosure <br />of Lobbying Activities". <br />I his certification is a material representation of fact upon which reliance was Placed when this transaction ttas made or <br />enterexf into. Submission of this certification is a prerequisite fir making or entering into this transaction imposed by Section <br />1352. Title 31, U. S. Code. 1\11% person who fails to ffle the required certification shall be subject to a civil pemda' ofnot less <br />than S 10.000 and not more than S 100.000 for each such (ailuro. <br />The Prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of <br />this cerfifrcation be included in all lower tier subcontracts• which exceed 5100,000 and that all such sub recipients shall certify <br />and dkelose accordin.-ly. <br />Firm Marketing Power Inc dba Energy Retrofit Co <br />Signed and Printed Name: Chris Kirchwehm <br />Tide President <br />Date 08!20!2018 —_--- --- <br />38 of 41 <br />25D-84 <br />
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