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Certification Regarding lobbying <br />Cotti.�,c��1I1 jra� Contracts Chants Fwoana. and Ccop®native Anr�et'11et1t� <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 <br />enrployce of any agency, a Member of Congress, an officer or employee of Congress, or <br />an employee of a Member of Congress in connection with the awarding of any Federal <br />contract, the malting of any cooperative agreomoni, and the extension, continuation, <br />renewal, amendment, or modification of any Federal contaot, grant, loan or cooperative <br />agreement. <br />(2) If any funds other than Federal appropriated fiends have been paid or will be paid to <br />any person for influencing or attempting to influence an officer or employee of arty <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with this Federal contract, grant, loan, or cooperative <br />agreement, the undersigned shall complete and submit Standard Fonn-ILL, "Disclosure <br />Form to Report Lobbying," in accordance with its instructions. <br />(3) The undersigned shall require that the language of this certification be included in the <br />award documents for all subawards at all tiers (including subcontract, subgrants, and <br />contracts under grants, loans, and cooperative agreements) and that all subrecipients shall <br />certify and disclose accordingly. <br />This certification is a material representation of fact upon which reliance was placed <br />when this transaction was made or entered into. Submission of this certification is a <br />prerequisite for making or entering into this transaction imposed by Section 1352, 'title <br />31, U. S, Code, Any person who fails to file the required certification shall be subject to <br />a civil penalty of not less than $10,O00 and not more than $100,000 for each such failure. <br />FGt l i_I. 4 c7Gz l 2. 3 t 11ct VY1i>) U1 V DLL , j°(2,0 <br />Grantee/Contactor Organization program Title <br />Name of Certifying Officer' Signature Date <br />EXHIBIT D <br />Page I of 2 <br />