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CERTIFICATION REGARDING LOBBYING <br />CERTIFICATION FOR CONTRACTS, GRANTS, LOANS, <br />AND COOPERATIVE AGREEMENTS <br />The undersigned certifies, to the beat of his 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 undersigned, to <br />any person for influencing or attempting to Influence an officer or employee of an agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection <br />with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal <br />loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, <br />amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. <br />(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for <br />Influencing or attempting to Influence an officer or employee of any agency, a Member of Congress, an <br />officer or employee of Congress, or an employee of a member of Congress In connection with this <br />Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit <br />Standard Farm-LLL, "Disclosure Form to Report Lobbying," in accordance with its Instructions. <br />(3) The undersigned shall require that the language of this certification be included in the award <br />documents for all" subawards at all tiers (including subcontracts, subgrants and contracts under grants, <br />loans, and cooperative agreements) and that all* subrecipients shall certify and disclose accordingly. <br />This certification is a material representation of fact upon which reliance was placed when this <br />transaction was made or entered into, Submission of this certification is a prerequisite for making or <br />-entering-inte-f.his-traneaction-Imposed-by-Seotion 9352-Title-81-U7&.-Gode. Any -person -who -falls -to file <br />the required certification shall be subject to a civil penalty of not less than $10,000 and not more than <br />$100,000 for each such failure. <br />City, of Santa Ana Pdson to EmployOj Program <br />-Grantee/Contractor Organization - Program/Title- - - <br />*Note: In these Instances, 'All," In the Final Rule Is expected to be clarified to show that it applies to <br />covered contract/grant transactions over $100,000 (per 29 CFR 93.110). <br />F0016 (Rev. 07121/2010) <br />