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Agenda Packet_2022-05-03
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Agenda Packet_2022-05-03
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4/28/2022 10:10:44 AM
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Agenda Packet
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5/3/2022
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EXH[BrrE <br /> LOBBYING <br /> Certification Regarding Lobbying <br /> Cermeakion for Cow Gfflift_L9M aid Coo 'ire Arts <br /> The undersigned certifies,to the best ofhis or her knowledge and belief that: <br /> (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br /> undersiguwd� to any person for influencmg or attempting to.influence an offloer or employee of <br /> any agency, a Member of Ckogress, an officer or employee of Congress, or an employee of a <br /> Member of Congress in won with the awarding of any Federal conies,the making of any <br /> cooperative agreement,and the extension, continuation, renewal, amemlment or modification of <br /> any Federal contact,gaunt,loan or cooperative agreement. <br /> (2) If any funds other than Federal appropriated finds have been paid or vM be paid to any person <br /> for.influencing or attempting to influence an officer or employee of any 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 contra grant,loan,or cooperative agreement,the undermgned shall <br /> complete and submit Stmu a rd Form-LLL, "Disclosure Form to Report.Lobbying,"in accordance <br /> with its moons. <br /> (3) The undersigned shall require;that the language of this certification be inelude1 in the award <br /> documents for all subawards at all tiersc(Including subconbw, subs and contracts under <br /> grate ins, and cooperative agreements) and that all de s shag certify and disclose <br /> accordingly. <br /> This certification is a material Fepresentafton of fact upon which reliance was placed when this <br /> transaction was made or entered into Submission ofthis cerkificatioo is a prerequisite for making <br /> or a Wft into this lion imposed by Section 1352,Title 31,D_ S.Code. Any person who <br /> fails to file the required coon shall be subject to a evil penalty of n*less than$10,000 and <br /> not more than$100,000 for each such failure. <br /> QuMC%MCbHdmn1s 'c Arm Center EmjyChRdhood.Prqg@msfburYmW <br /> Children and Parents in Santa Ana <br /> Grantee/Contactor Organization Program Title <br /> Dr_Ana JimenezAftmi k•�. 03/1612022 <br /> Name ofCwt&jing dicer ignatur Date <br /> 4 <br /> City Council 26 — 460 5/3/2022 <br />
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