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APPENDIX <br />ATrACIBIEN ' 3-2: NON -Idyl$$ % CEMFICATIO <br />CERTIFICA;.T ONS <br />CITY OF SANTA -ANA <br />REQUEST FOR PROPOSALS <br />FOR <br />DAN YOUNG SOCCER COWLEfX FIELD #2 AND 94 SYNTHETIC TURF <br />RFP NO.: 16-01 <br />Tho prospective participant certifies, by signing and submitting this bid orproposal, to the best of bis or Iter knowledge and <br />belief; that: <br />No federal appropriated funds levo been paid or will be paid, by or on behalf of the undersigrred, to any <br />person for influencing or attempting to influence an officer or employee of any federal agency; a Member of <br />Congress, an offices or employee of Congress, or an employee of a Member of Congress in connection with <br />the awarding of any federal contract, the making of any federal gram the making of any federal loan, fire <br />entering into of any cooperative agreement, and the extension, continuation, renewal, aineadment, or <br />modification of any federal contract; grant, loan, or cooperative agreement. <br />2. I fa_ny fiends; other than federal appropriated funds have been paid or -Mill be paid to any person Jvr <br />influencing or attempting to influence any offtceror employee of any federal agency; a Member of Congress, <br />an officer or employee of Congress, or an employee of a Member ofCongress in connection withthis federal <br />contract, grant loan; loan or cooperative agreement, the undersigned shad complete and subunit a "IDNelustue <br />of Lobbying Activities". <br />`l9 is not is a material rep,oseutation of fact upon which reliance was placed when this truasaction was made or <br />entered into. Submission of tis certification is a prerequisite for inaking or entering into this transaction imposed by Section <br />1352, Title 31, U, S. Code. Any person who fails to file the required certification shall be subject to a civil penalty'ofnat less <br />than $10,000 and net more than $10,000 for each such failure. <br />The prospective participant also agrees by submitting lis or her bid or proposal that he or she shall require that the k figuage of <br />This certification be included in all lower tier subcontracts, which exceed $;100,000 and drat all such sub recipients shall eei t<ty <br />and disclose accordingly. <br />WM <br />Sign( <br />Title <br />Date COA) caa fK-, _ <br />City of Santa Ana RFP 16-01 <br />Paye 28 <br />