Laserfiche WebLink
Certification Regarding Lobbying <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 atteropting to influence an officer or <br />employee Of ally agency, a Member of Congress, an officer or employee of Congress, or <br />an employe© of a Member of Congress in connection withtltc awarding of any Federal <br />contract, the malcing of my cooperative agreement, and the extension continuation, <br />renewal, amendment, or rnodifieation of any Federal contact, grant, loan or cooperative <br />agreements <br />(2) if any fonds other than Federal appropriated ands have been paid or will be paid to <br />any person for influencing or attempting to influence so officer or employee of arty <br />agency, a Member of Congress, an officer or employee of Congress, or all employee of a <br />Member of Congress [a oonneotion with this Federal contract, grant, loan, or cooperative <br />agreotttent, the undersigned shall Whoploto and submit Standard Fonn-LLL, "Disclosure <br />Form to Report Lobbykig;," in accordance with its instructions, <br />(3) The undersigned shall require that the language of this certification be Inoluded in the <br />award documents for all aubawardg at all tiers (Including anbContrat t, subgrants, and <br />contracts under grant$, loalrs, and 000perativo agreements) anti that ail subrecipients shall <br />eertity and disclose accordingly. <br />This Certification is a material representation of fact upon which reliance was placed. <br />when this transaCtlan was ltttttle tar entered into, Submission of tills ocrtifioatlon is a <br />pracquisite tar making or entering into this transaction. imposed by Soctlou 1352, Title <br />31, Lf, S, Code, Any parson who falls to Cale the required certification shall be subieot to <br />a civil penalty of not less than $10,000 and not more than $1.00,000 rot each snob failure, <br />Organivation Program Title <br />its <br />Nance of Certifying Officer 53gnstare Date <br />EXHIBIT D <br />Page 1 of 2 <br />