Laserfiche WebLink
<br />Agreement #W7.GJC-10 <br />City of Santa Ana <br /> <br />Exhibit G <br />CERTIFICATION REGARDING LOBBYING <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 undersigned, to <br />any person for influencing or attempting to influence an officer or employee of an agency, a member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection <br />with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal <br />loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, <br />amendment, or modification of any 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 person for <br />influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an <br />officer or employee of Congress, or an employee of a member of Congress in connection with this <br />Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit <br />Standard Form LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. <br /> <br />(3) The undersigned shall require that the language of this certification be included in the award documents <br />for all* subawards at all tiers (including subcontracts, subgrants and contracts under grants, loans, and <br />cooperative agreements) and that all* subrecipients shall certify and disclose accordingly. <br /> <br />This certification is a material representation of fact upon which reliance was placed when this <br />transaction was made or entered into. Submission of this certification is a prerequisite for making or <br />entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file <br />the required certification shail be subject to a civil penaity of not iess than $10, 000 and not more than <br />$100,000 for each such failure. <br /> <br />City of santa Ana <br />Grantee/Contractor Organization <br /> <br />David N. Ream <br /> <br />Name <br /> <br />T;tl, City ~a- <br /> <br /> <br />Authorize{;Signature <br /> <br />*Note: In these instances, "Ail," in the Final Rule is expected to be clarified to show that it applies to <br />covered contractlgrant transactions over $100,000 (per OMS). <br /> <br />WIA Cost Reimbursement Agreement- Green Jobs Corps <br /> <br />Exhibit G <br />