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EXHIBIT E <br />APPENDIX <br />ATTACHMENT 3-2: NON -LOBBYING CERTIFICATION <br />CERTIFICATIONS <br />CiTY OF SANTA ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />REVIVE: <br />SANTA ANA FOOD SUPPLY/DISTRIBUTION iPROGRAMS <br />FP NO.. 22.009A <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his. or her <br />knowledge and belief, that: <br />1. No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to <br />any person for influencing or attempting to influence an officer or employee of any federal agency, <br />a Member of Congress, an officer or employee of Congress, or an employee of a Member of <br />congress in connection with the awarding of any federal contract, the snaking of any federal grant, <br />the making of any federal loan, the entering into of any cooperative agreement, and the extension, <br />continuation, renewal, amendment, or modification of any federal contract, grant, loan, or <br />cooperative agreement. <br />2, If any funds otherthan federal appropriated funds have been paid or will be paid to any person for <br />Influencing or attempting to influence any officer or employee of any federal agency, a Member of <br />Congress, an. officer or employee of Congress, or an employee of a Member of Congress In <br />connection with this federal contract, grant loan, loan or cooperative agreement, the undersigned <br />shall complete and submit a "Disclosure of Lobbying A01vities". <br />This certification is a material representation of fact upon which reliance was placed when this transaction was <br />made or entered Into; Submission of this certification Is a prerequisite for making or entering Into this transaction <br />imposed by Section 1352, Title 31; U, S. Code. Any person who falls to file the required certification shall be <br />subject to a civil penalty of not less than $10,000 and 'not more than $100,000 for each such failure. <br />The prospective particlpant also agrees by submitting his or her bid or proposal that he or she shall require that the <br />language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such <br />sub recipients shall certify and disclose accordingly. <br />Organization l " }i t� t7 1 (+�, A <br />Signed and Printed Name: <br />Title <br />Data e,_ ' --+ i 'd-O?- ?- <br />City of Santa Ana RFP 22-009A <br />Page 43 <br />