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CERTIFICATIONS <br />CITY OF SANTA ANA <br />..-.. ... <br />ATTACHMENT D <br />NON-LOBB'(ING CERTIFICATION <br />The prospective participant oendies, by signing and submitting this bid or statement of qualification, to <br />the best of his or tier knowledge and ballet, that: <br />(f) No I-ederal approprated tunds have been paid or will be paid. by or on behalf of the undersigned, <br />to any person for influencing or attempting Io influence an officer or employee of any Federal <br />agency, a Member of Congress, an officer or employee of Congress. or an employee of a Member <br />of Gongre33 in connection smith tho awriWing of any Federal contract., the making of any Federal <br />grant, the making of any Federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation, renowal, aneondment, or modification of any Federal contract, grant, loan, <br />or cnopnrativn agreement <br />(2) If any fiends other than Federal appropriated funds have been paid or will be paid to any porson <br />for influencing or attempting to influence an officer or employee of any Federal agency, a Member <br />of Congress, an ottacer or employee of Congress, or an employee of a Member of Congress in <br />connection Willi this Federal contract, grant, loan, or cooperative agreement, the undersigned <br />shall complete and Submit Standard form LLL, "Disclose.rre of Lobbying Activities," in <br />conformance with its instructions_ <br />This certification is a material rapresenTAtMr1 of fact upon which refianee was placed when this transaction <br />was made or entered into Submission of This certification is a prererynisBe for making or entermp Mtn <br />this transaction imposed by Section 1352, "l'itle 31. U_S- Code- Any person who fails to file the required <br />certification shall be subject 10 a civil penalty of not less than $10,000 and not more Phan $100,000 for <br />each Such failure. <br />this Prospective pa't,lpant also agrees by subrtting his or her bid or statement of qualifications that he <br />� t or she shall requi he lanquage of this certification be included in all lower tier subcontracts, which <br />oxoced $100 00 a of auch a ,LALipiaata x all r.artify and diaclosta accordingly. <br />Signed <br />-6 itle: I'resident <br />Firm: Townsend Public Affairs. Inc. <br />Date: <br />THIS FORM Mu$l <br />STATEMENT OF <br />RFQ No 21-016 State I egfslative Advocacy Services Page 27 of 29 <br />Cim COUI it 30 — 4?S 4/6l20 <br />Cj aternen of Qualifications for State Legislative Advocacy Li -vices I City of Santa Ana P28ge 25 <br />