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LOBBYING <br />Certification Regarding Lobbying <br />Certification for Contracts, Grants, Loans, and Cooperative Agreements <br />The undersigned certifies., to the best of his or her knowledge and belief, that; <br />(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencing or attempting to influence an officer or employee of <br />any agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with the awarding of any Federal contract, the making of any <br />cooperative agreement, and the extension, continuation, renewal, amendment, or modification of <br />any Federal contact, 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 <br />for influencing or attempting to influence an officer or employee of any agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in <br />connection with. this Federal contract, grant, loan,, or cooperative agreement, the undersigned shall <br />complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance <br />with its instructions. <br />(3) The undersigned shall require that the language of this certification be included in the award <br />documents for all subawards at all tiers (including subcontract, subgrants, and contracts under <br />grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose <br />accordingly. <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 <br />or entering into this transaction imposed by Section 1352, Title 31, U. S. Code. Any person who <br />fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and <br />not more than $100,000 for each such failure. <br />Grantee/Contactor Organization Program Title <br />km e rrcc�— r)r/)-C "6 <br />Name of Certifying Officer Signature <br />26 <br />-2-r) z f <br />Date <br />