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2021/06/30 Council Agenda Packet
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2021/06/30 Council Agenda Packet
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Council Agenda Packet
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6/30/2021
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Exhibit G-3 Certification Regarding the Restrictions of the Use of Federal Funds <br />for Lobbying <br />The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her <br />knowledge and belief, that <br />1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned to any <br />person for influencing or attempting to influence an officer or employee of any Federal agency, a Member <br />of Congress, an officer or employee of Congress, or any 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 loan, <br />the entering into of any cooperative AGREEMENT, and the extension, continuation, renewal, amendment, <br />or modification of Federal contract, grant, loan or cooperative AGREEMENT. <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 Fedeial agency, a Member of Congress, <br />an 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 Fonu to Report Lobbying," in accordance with its instructions <br />This certification is a material representation of fact upon which reliance was placed when this transaction <br />was made or entered into. Submission of this certification is a prerequisite for making or entering into <br />this transaction imposed by Section 1352, Title 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 $10,000.00, and not more than $100 000.00, <br />for each such failure. <br />The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require <br />that the language of this certification be included m all lower tiei sub -contracts, which exceed $100,000, <br />and that all such sub -recipients shall certify and disclose accordingly. <br />Transpo Group USA, Inc <br />Consultant (Firm Name) <br />June 10, 2021 <br />Signature (Authorized Official of Consultant) Date <br />Agreement Number: <br />Exhibit G - Local Agency A&E Professional Services Cost Plus Fixed Fee Consultant Agreement Revised 01/01/2020 Page 1 of 1 <br />
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