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<br />" <br /> <br />Exhibit G <br /> <br />CERTIFICATION REGARDING LOBBYING <br /> <br />CERTIFICATION FOR CONTRACTS, GRANTS, LOANS. <br />AND COOPERATIVE AGREEMENTS <br /> <br />The undersigned certifies, to the best of his or her knowledge and belief, that: <br /> <br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencing or attempting to influence an officer or employee <br />of an agency, a member of Congress, an officer or employee of Congress, or an employee of <br />a Member of Congress in connection with the awarding of any Federal contract, the making <br />of any Federal grant, the making of any Federal loan, the entering into of any cooperative <br />agreement, and the extension, continuation, renewal, amendment, or modification of any <br />Federal contract, grant, loan, or cooperative agreement. <br /> <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 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 Form to Report <br />Lobbying," in accordance with its instructions. <br /> <br />(3) The undersigned shall require that the language of this certification be included in the <br />award documents for all* subawards at all tiers (including subcontracts, subgrants and <br />contracts under grants, loans, and cooperative agreements) and that all* subrecipients shall <br />certify and disclose accordingly. <br /> <br />This certification is a material representation of fact upon which reliance was placed when <br />this transaction was made or entered into. Submission of this certification is a prerequisite for <br />making or entering into this transaction imposed by section 1352, title 31, U.S. Code, Any <br />person who fails to file the required certification shall be subject to a civil penalty of not less <br />than $10, 000 and not more than $100,000 for each such failure. <br /> <br />FORMULA <br /> <br />City of Santa Ana <br /> <br />NEG <br />Prog ramfTitle <br /> <br />Grantee/Contractor Organization <br /> <br />David N. Ream, City Manager <br /> <br /> <br />Signature <br />*Note: <br /> <br />z. d <br />Dat <br />In these instances, "All," in the Final Rule is expected to be clarified to show that <br />it applies to covered contract/grant transactions over $100,000 (per OMS). <br /> <br />