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3-2 NON -LOBBYING CERTIFICATION <br />Appendix <br />ATTACHMENT 3-2t NON -LOBBYING CERTWICATION <br />CZRTMCATIONS <br />Thepreepeotiva partfoipsnt certifies, by affiWag and submitting this bid or proposal, to thebast ofhla or bar <br />kwotviedgo and bollof, that; <br />1. No federal appropdatad fluids have been paid or will bapaid, by oroa behalf of the undersigned, to <br />any parson for Influonaing or attempting to influence an officer or employee of say federal. agency, a <br />Member of Congress, on officer or employee of Congress, or an employee of a Member of Congress <br />in cosnaotion with the awarding of any federal contract, the making of any federal great, the making <br />of nay federal hears, the onto&& into of any cooperative agreement, and the extension, continuation, <br />renewal, amendment, ormodi£foadon of any federal contract, grant, loan, or cooparadve agraemant. <br />2. If any funds other dun federal appropritradfbnds havabeenpaid or will bopald to anypersonfor <br />influencing or attempting to influence any offlow or aciployoo ofsayfedaml agency, a Man rar of <br />Congress, an officer or employee of Congress, or an employee of a Mir of Congress in <br />+ connection widh ibis fedaral ooatraotl great loan, loan orcoopamtivo agramont, thoundarelpaed <br />shall complete and submit a."Diselosnre of UbbyingActivKNO. <br />This certification Is a material representation of shot upon which reliance was placed when this transaction was made <br />or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed <br />by Section 1352, Title 31, U. S. Code, Any person who falls to file the required eortifinalion shall be subject to a civil <br />penalty of not lass then $10,000 and not more than $100,000 for each such failure, <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she $ball require that the <br />language of this cartification be included is all lower tier subcontracts, which exceed $100,000 and that all such sub <br />recipients shall oettify mrd disclose accordingly. <br />Firm NV5, Inc. <br />Signed and printed lVmne;*r' David N3knafs, PE <br />Title Director of Operations <br />Data 4/13/17 <br />City of Santo Ana RFP <br />Page A3.2 <br />Walnut Pomp Station and San Lorenzo Sewage Lift Station I (fly of Santa Ana <br />25 <br />