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Certification Regarding Lobbying <br />Certification for Contracts Grants Loans and Cooperative Aureem`nt- <br />The undersigned certi fies, to the best of his or her knowledge and belier, that: <br />1 I ) No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencin11 or attempting to influence an officer or <br />employee or any agency, a Member of Congress, an officer or employee of Congress, or <br />all employee of a Member of Congress in connection with the awarding of any Federal <br />contract, the making of any cooperative agreement, and the extension, continuation, <br />renewal, amendment. ur ul>dilication of any Federal contact, grant, loan or cooperative <br />agreement. <br />(2) If any funds other than Federal appropriated funds have been paid or %+ill be paid to <br />any person &n iulhienciog or attempting to influence an officer or employee of any <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, gant, loan, or cooperative <br />agreement, the undersigned shall complete and submit Standard Form-LLL. "Disclosure <br />Form to Report Lobbying." in accordance with its instructions. <br />(3) Rae undersigned shall require that the language of this certification be included in the <br />award documents for all subaw-ards at all tiers (including subcontract, sub -rants, 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 representanon of fact upon which reliance nos placed <br />when this transaction was made or entered into. Submission of this certification is <br />prerequisite ror making or entering into this transaction imposed by Section 1351, `I itle <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 M,000 and not more than SI00,000 for each such failure. <br />GranteeContactor <br />/ <br />Conta%ctor Organization r Pnrem ra�tle <br />Name orC'ertifying Officer Siumatura Date <br />EXHIBI f D <br />Page I of 2 <br />