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(a CITY OF SANTA ANA <br />(2) If any funds other than Federal appropriated funds have been paid or will be paid to any <br />person for influencing or attempting to influence an officer or employee of any Federal agency. a <br />Member of Congress, an officer or employee of Congress, or an employee of a Member of <br />Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the <br />undersigned shall complete and submit Standard Form-LLL. "Disclosure of Lobbying Activities," <br />in conformance with its instructions. <br />This certification is a material representation of fact upon which reliance was placed when this transaction <br />was made or entered into. Submission of this certification is a prerequisite for making or entering into <br />this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required <br />certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for <br />each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she shall <br />require that the language of this certification be included in all lower tier subcontracts, which exceed <br />$100,000 and that all such subrecipients shall certify and disclose accordingly. <br />Signed <br />Title: President <br />Firm: J & A Engineering Corp. dba J & A Fence <br />Date 3/01/23 <br />THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br />ATTACHMENT <br />NON-DISCRIMINATION CERTIFICATION <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />The undersigned consultant or corporate officer, during the performance of this contract, certifies as <br />follows <br />The Consultant shall not discriminate against any employee or applicant for employment because of <br />race, color, religion, sex, or national origin. The Consultant shall take affirmative action to ensure that <br />applicants are employed, and that employees are treated during employment without, regard to their <br />race, color, religion, sex, or national origin. Such action shall include, but not be limited to. the <br />following: employment, upgrading. demotion, or transfer, recruitment or recruitment advertising, <br />layoff or termination, rates of pay or other forms of compensation: and selection for training. including <br />apprenticeship_ The Consultant agrees to post in conspicuous places. available to employees and <br />applicants for employment. notices to be provided setting forth the provisions of this nondiscrimination <br />clause. <br />ON -CALL INSTALLATION. MAINTENANCE AND REPAIR FOR FENCING AND GATES 41 <br />