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CERTIFICATION REGARDING LOBBYING <br />CERTIFICATION FOR CONTRACTS GRANTS LOANS <br />a!ld COOPERATIVE AGREEMENTS <br />The undersigned certifies., to the best of hiscr her knowledge and belief, that: <br />I ) No Federal appropriatedfunds have been paid or will be paid, by or on behalf of <br />the undersigned, to any person for Irift'Liencing or attempting to influence an <br />officer or -employee of any agency, a Member of Congress in connection with the <br />awarding V any Federal contract, the -making of any Federal grant, the making of <br />any Federal loan, the. entering into .ofarty, cooperative agreement, and the <br />extenslon,continuattion, renewal, amendment, or modification ofany Federal <br />contract, grant, loan, 'or cooperative agreement. <br />2) If any funds other than Federal appropriated funds have been paid or will be paid <br />to any person W inluenolngi or attempting to Influence an officer or employee of <br />any agency., a Member of, Congress, an officer or employee of Congress, or an <br />employee, of a member-oftongres's in connection with this Federal contract, <br />grant, loan, or cooperative agreement, the undersigned shall complete and <br />submit Standard Form-l-LI., "Disclosure Form to Report Lobbying." in <br />accordance with Its instructlons. <br />3) The undersigned shall require that The language of this certification be included in <br />the award documents for all subawards at, all tiers (Including agreements) and <br />This certification is a. material representation of faotupon which reliance wass placed <br />when this transaction was made or entered into, Submission of ftfs, certification is a <br />prerequisite for making or entering into'this transaction imposed by al U.S.C. 1352. <br />Any person who,fails to file the required certification shall be sub , ject.to a civil penalty of <br />not less then $110,000 and not more than $100,000 for each such failure occurring on or <br />before October 23, 1996, and of not less than $41,000 and not more than $110,000 for <br />each such failure, <br />Health8taff Training Institute <br />Grantee/Contractor Organization <br />Kishore, Mathran! <br />Name of Certifying Official Signature <br />EXHIBIT D <br />Program Title <br />