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CITY OF SANTA ANIA <br /> ATTACHMENT E <br /> NON.-LOBBYING CERTIFICATION <br /> The prospective participant cortiftos, by signing and submitting this bid or proposal,to the best of his or <br /> hor 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 Momber of Congress,an officer oremployoe 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, tho 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 approprlatod funds have been paid or will be paid to any person <br /> for Influoncing 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 Forrn-LLL, "Disclosure of Lobbying Activltlos," In <br /> conformance with Its Instructions. <br /> This certlflcatlon Is a material representatlon of fact upon which reliance was placed whon this transaction <br /> was made or entered into. Submission of this certificatlon Is a prerequisite for making or entering Into <br /> this transaction imposed by Section 1352,Tile 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 fallure. <br /> The prospective participant also agrees by submitting his or her bid or proposal that lie or silo shall <br /> require that the language of this a rllfI?tlo be Included In all lower tier subcontracts, which exceed <br /> $100,000 and t at al uch subreclple t sh II certify and disclose accordingly, <br /> r. <br /> Signed: <br /> Title: Px c s i.dcnt <br /> Film: J&GG IndusL-ries Inc <br /> Date: lV"4c- <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN'ri-ilS FORM WILL BE CONSIDERED NONRESPONSIVE <br /> Clly of Sonla Ana RFP No.26.027 Page 37 of 41 <br />