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CITY OF SANTA ANA <br />PROPOSAL <br />PROJECT NO, 146799: New Traffic Signal on Newhope St and Camille St <br />PROJECT NO. 145800: Traffic Signal Mod iflcatirni on Segeratrom Ave and Bear St <br />N/A = Not Applicable <br />DISCLOSURE OF LODDYNG ACTIVITIES APIPMVed by 0MI5 <br />Complete this to= to disolose lobbying activities pursuant to St U,S.C. 4352 6 <br />(See reverse for reiban burl" ttittdn.. 1 <br />9. Type of Federal Act" . <br />2. Status. al'Fedenal Ac' ...__. <br />% Report Type: <br />contract <br />�a. bldlofinitial feed n ban <br />InRiai filing <br />a.ward <br />b.. <br />b. <br />a Cooperatrm agreennowd <br />C. past -award <br />Fee maitariat Chance orrty: <br />d. ban N/A <br />N/A <br />quarter N/A <br />e. loon guarantee <br />date of last report <br />f, loan irouranDe <br />d. name and Address of Reporting Entity: <br />S. N Reporting Entity in No, d is a Subawardee, Eerier Name <br />❑ prow ❑ a <br />and Aditness of Prkw,, <br />Tear , dJarmen: <br />N/A <br />N/A <br />Con ssior District, ff kmewm <br />Corr res oistrtot, d <br />S. Federal QepartmenitAgency: <br />7. Federal Program on. <br />N/A <br />CFM Number, rT ble: N/A <br />• Federal Action Nmnbar,. Of known - <br />S. Award Amount, df known: <br />N/A <br />I; N/A <br />10. a, Name and Address of Lobbying: Entity b, Individuals performing Services (kokuhng address ff <br />Wasate7dual, last name first name, kff): differadf them No. 10a) <br />(lass nwrPe, first name. WA . <br />N/A N/A <br />eYs sAtttaq .740Wa <br />11, Amount of Payenent (chwak aN wpply); <br />13, Type of payment (check 30 that aPpli'): <br />3 N/A ❑ actor ❑ Plarnled <br />❑are N/A <br />❑ 0.onobowtoe <br />❑ c» <br />12. Form of Payment {ebmdir all that apply): <br />a oaeh <br />E14.0ofthatinatme <br />❑ a. in -am spadtp: <br />[] 4 d <br />value <br />711, . "my: <br />14, Brief DeacriptUm of Services peratanned or to be Performed and oate(s) of Service, incieding ofgcer(s)t.. <br />empf s)'e or Member(s) cantaoted, far Payment hrdleated in hem, 11: <br />N/A <br />armati SF r <br />15. Coniirmatian Shee s SF-La.LA. Nee <br />xr.,a.aa reun.rvx rw r.n, . eam <br />iG. rare. earn w .aero e . m rte. <br />Sign m: <br />PdrdName: lizabethH.MendozadeMcRae <br />�xm ar q.n <br />,t" eras.re,,,�,,tr. <br />« .,aatna>vr11,,:�„« <br />Titka; President/CFO <br />•. aaM W tlwr +.r.4.pnftlr avi.a br wailYWM <br />«rtw m.znaw*+^i tr.awterw .Ma nn. ax. run to e. <br />Teiaplxvte Nn.: 951.710.1000 10.05.15 <br />Federal Use onty: <br />AdIffoofted for Lot <br />Stalded FOon LLL Mv. 747 <br />BP -25 <br />