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® www.stageplusevents.com <br />Page <br />Certifications - Attachment E <br />Non -Lobbying Certification <br />CITY OF SANTA ANA <br />ATTACHMENT E <br />NON -LOBBYING CERTIFICATION <br />The prospective participant certifies. by signing and submitting this bid or proposal. to the best of his or <br />her knowledge " belief, that. <br />(1 ) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, <br />to any person for infuerwkig or attempting to influence an officer of employee of any Federal <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member <br />of Congress in connectmn 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 ccoperatwe 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 parson <br />for influencing or attempting to innuerxae an oHiCer or 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 />connection with this Federal contracl, grant, loan, or oaoperalive agreement, the undersigned <br />shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities." in <br />oonforr ance with its instructions. <br />This certificali.on is a material representation of fact upon which reliance was placed when this transaction <br />was matte or entered into. Submission of this oertification is a prerequisite for making or entering into <br />this transaction imposed by Section 1352, Tine 31, U.S. Cade. Any person who fails to file the required <br />certif+calron shalt be suboct to a Civil penalty of hat less than $10,DDO and not more than $100.000 for <br />each such failure. <br />The, prospective participant also agrees by submitting his or hef bid or proposal that he or she shall <br />require that the language of this oerlificatilon be included in all lower tier subcontracts, which exceed <br />$100,000 and that all s772ZK <br />rtrfy and disclose accordingly <br />Signed: �j <br />Title: p <br />Firrn: flK��sr. <br />Data: <br />THIS FARM MUST BE COMPLETED AND INCLUDED WrTH THE PROPQSAI . <br />PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE <br />C.4y a 58r sa A" RFP No_ 25-0M Page 27 of 29 <br />2025 <br />