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CITY OF SANTA ANA <br />The prospedive participant certifies, by signing and submitting this bid or proposal, to the best of his or <br />her knomedge and belief, that: <br />(j ) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, <br />tO any person far influencing Or attempting tO influence an OffiCer Or employee Of any Federal <br />agenq, a Memberof Congress, an officer oremployee ofCongress, or an employee ofa Member <br />of Congress in connection with the awarding of any Federal contraCt, the making of any Federal <br />grant, the making of any Federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, <br />or cooperative agreement. <br />(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person <br />for influencing or attempting to influence an officeror employee of any Federal agency, a Member <br />of Congress, an officer or employee of Congress, or an employee of a Member of Congress in <br />oonnection with this Federal contract, grant, loan, or cooperative agreement, the uridersigned <br />shaD oomplete and submit Standard Form-LLL, "Disclosure of Lobbying Activfflies," in <br />conformance mth its instructions. <br />This certffication is a material representation of fact upon which reliance was placed when this transaction <br />ws 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 />mrttfi>tion shall be subject to a civil penalty of not tess 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 />TitJe:PREEJDENT <br />Firm:ABAJIAN ENTERPRISE <br />Date: <br />TH18 FORM MUST BE COMPL.ETED AND INCLUDED WITH THE PROPOSAL. <br />PROPO8ALS THAT DO NOT CONTAIN TH18 FORM WILL BE CON81DERED NONRESPONSIVE. <br />City of Santa Aria RFP No. 25-027 Page37of41 <br />12 <br />  <br />  <br />City Council 20 – 37 4/15/2025