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N A *111; <br />LOBBYING <br />Certification Regarding Lobbying <br />Cermeation far C9mbida, GRHL% imnwavd C9909ughLe <br />The undersigned certifies, to the best of his or her knowledge and belief that: <br />(1) No Federal appropriated fimds have been paid or will be paid, by or on behalf of the <br />unde rsigaed, to any person for influencing or attempting to influence an officer or employee of <br />any agency, a Member of Ckingress, an officer or employee of Congress, or an aaloyee of a <br />Member of Congress in +won with the awarding of any Federal contrai, 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 thm Fedel appropriated fimils 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 />eomr xmonE with this Federal conhact, 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 inmuctlons. <br />(3) The undersigned shall require that the language of this won be included in the award <br />doffs for all subawards at all tiers (including subcontrack adVanK and conn-acts under <br />grants loans,, and cooperative agreements) and that all sweats shall catify and disclose <br />accordingly - <br />This certification is a material representation of W upon which reliance was pkwed when this <br />transaction was made or entered into_ Submission oftbis cartificatum is a prerequisite for mpg <br />or entering into this transaction imposed by Section 1352, Title 31, U S_ Code. Any person who <br />fails to file the required won sloop be subject tea a civil penalty ofn a less than $10,000 and <br />not more than $100,000 for each such failure. <br />Qm e�Caunty Children's Tic Arts Cep Early Childhood kmggm for Yoe <br />Children and Parents in Saner Ana <br />GrantedContactwOrgasnization Program Title <br />r <br />Dar_ Ana .iimenezHaani � i�� - 03/16/2022 <br />Name ofCerfifyi% Officer gigHaturP Date <br />4 <br />