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APPENDIX CERTIFICATIONS <br />Appendix <br />ATTACIIMENT 3-2: NON -LOBBYING CERTIFICATION <br />CE,W11 FICATIONS <br />The prnspcclivc paticipanI ccnilic:, by eimtinl!and suhmimini; III is bid ur proposal, lu the heSI of ItiS or her <br />knowledge and belief. that: <br />No falaal approptmied funds have been paid Or wi II be p.iid, by of on behalf of IIIc uncicrsignul, to <br />any person fu - influencing or attempting to influence an officer or employee of any federal agency, a <br />Meanber of Cimgress, an Ofticnr or esrplOyce of Congress, or an employee of a Member of ConV css <br />in connccllon with 11w. awarding of any lede:ral contract, Illc nialdn_L' of any m1cral U-alh, IhC'rnalffiu' <br />of any fedcral loan, the entering into of any cOOPerati( c agnculcnt, and the CXICIlSioll, colnineuatioll, <br />Iinlewal, amendment, or nlodi licatioll of any (Acial cotill tcl. hTtnl. loan, ol'coopl;mill ve agiccnlcrll. <br />2. Ifatry fund, Other thau IldMil appropriated fiords IraVe bw I paid or will be paid Lu any pa-,url for <br />infltuncing or aticmpting to intlucricc any otticc7 or employee of ally tbdaal agency, a Memberof <br />Congicss, in officer of cmploycc of Congress, or an uttplowc of a Manbel of COngicas in <br />connection with this federal contract, �n;Lnt loan, loan or ampelative agLaement, the undersigned <br />shall complete and submit a "Disclosure o1'Lobbying Activities". <br />Tlns certification is a material representation of fact upon which reliawee was placed when this nansaction was made <br />or entered into. Submission ofthis cntilicatiOn is a praCLjuisitc for staking or cnu:ring inw this uansaction imposed <br />by Seelion 1352, Tiilc 31, It. S. Code. Any pQrson who Baik to lile therequiml certification shall be subiccl to a civil <br />Penalty of not less than S 10.000 and not more than S 100.000 tot each such fzilure. <br />The prospective participant also agl-ecs by submitting his or her bid or proposal that he or slichall require that the <br />language of this certification be included in all lower tier subcolnlacn, which exceed S 100,000 and thal all such sub <br />rccipiaus shall certify and dudosc wconlingly. <br />Firm <br />Signed and Pnnted Name: Slawek Dymerski, PE, GE "! <br />Tilc Vice President <br />Date <br />City Council <br />RMA Group <br />I:veiy Prvjar! Matters www.mm(orripi,,,rorri <br />21 — 291 <br />7/6/2021 <br />RFP NO: 20-111 1 MATERIALS TESTING & SPECIAL INSPECTION SERVICES <br />CITY Of SANTA ANA 120-1600-P I SEPTEMBER 30, 2020 Page xi <br />