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Agenda Packet_2022-05-03
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Agenda Packet_2022-05-03
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Agenda Packet
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5/3/2022
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DocuSign Envelope ID:440EC5ED-7173-4C14-A8C2-CB4E1C47BF65 <br /> Appendix <br /> ATTACHMENT 3-2: NON-LOBBYING CERTIFICATION <br /> CERTIFICATIONS <br /> The prospective participant certifies,by signing and submitting this bid or proposal,to the best ofhis ur 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 ur attempting to influence an officer or employee vfany federal aQ ncy,a <br /> Member of Congress,an officer or employee of Congress,or art employee of a MembeT of Congress <br /> in connection with the awarding of any federal contract.the making of any federal grant,the making <br /> of any federal loan,the entering into of any cooperative agreement,and the extension,continuation, <br /> renewal,amendment,or modification of any federal contract,grant,loan,or cooperative agreement, <br /> z. if any funds other than federal appropriated funds have been paid or Zvi 11 be paid to any person for <br /> influencing or attempting to influence any officer cr employee of any federal agency,a Member of <br /> Congress,an officer or employec of Congress,or an employee of a Member of Congress in <br /> connection with this federal contract,grant Ivan,loam or cooperative agreement,the undersigned <br /> shall complete and submit a"Disclosure of Lobbyting Activities". <br /> This certification is a matetial representation of fact upon which reliance was placed when this transaction was made <br /> or entered into.Submission of this certification is a prerequisite for making or entering into this transaction unposed <br /> by Section 1352,Title 31, U.S.Code.Any person who fails to file the required+certification shall be subject to a civil <br /> penalty ofrtet less than S 10,000 and not more than 8100,000 for each such failure. <br /> The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the <br /> langnge of this certification be included in all lowerder subcontracts,which rxceed S 100,000 and that all such sub <br /> recipients shall certify and disclose accordingly, <br /> Firm American Wrecking Inc. <br /> Signed and Printed Name: Juan G. Galavix <br /> Tide Vice President <br /> 1 <br /> Date February 7,2022 <br /> City of Santa Ana RFP <br /> Page A3-2 <br /> <br /> City Council <br /> 22– 182 <br /> 5/3/2022 <br /> <br />
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