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® www stageplusevents.com Page 17 <br /> Certifications - Attachment E <br /> Non - Lobbying Certification <br /> CITY OF SANTA ANA <br /> ATTACHMENT E—__J--_ <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 and 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 Influencing or attempting to influence an officer or 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 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 officer 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 contract, grant, loan, or cooperative agreement, the undersigned <br /> shall complete and submit Standard Form-LLL, 'Disclosure of Lobbying Activities," in <br /> conformance with its instructions. <br /> This certification is a material representation of fad upon which re iance 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 /> S 100.000 an7Z5 <br /> ts -all ertify and disclose accordingry <br /> __ <br /> Tine- <br /> Firm: l <br /> Date: <br /> THIS FORM MUST BE COMPLETED AND INGLUDE4 WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. j <br /> City,,r Sara Ara P r P No 25 L49 1'.w1.77 of 2q <br />