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Certification, Regarding Lobbying <br />Gertif ication for Contracts. Grants Loans, and Cooperative� Agj_ - n 1_- s <br />The undersigned certifies., to the best of his or - her knowledge and belief,, tT).at <br />(1) No Federal appropriated funds have been paid or will be paid, by or on <br />behalf of the undersigned, to any person for influencing or attempting to <br />influence an officer or employee of any agency. a Member of Congress, an officer <br />or employee of Congress. or an employe of a Member of Congress in connection with <br />the awarding of any Federal contract. the making of any Federal grant, the making <br />of any Federal loan, the entering into of any cooperative agreement, and the <br />extension. CoUtinuatiou,, renewal, zme&ment, or- modific-ItiOu of any Federal <br />contract, grant, loan. or cooperative agreement- <br />(2) If any funds other. than Federal appropriated funds. have been paid or will <br />be paid to any person for influencing or attempting -to influence an Officer or <br />employee of any agency.. a Hetaber of Congress,- an officer or employee of Congress, <br />or an employee of a Member of- Congress in connection vitliL this Federal contract, <br />grant. loan, Or coopeiative agreement, the undersigned sbAll. complete and submit, <br />Standard Form-IML, '"Disclosare Form to Report Loblpyiug in accordance Vith its <br />instructions. <br />(3) The undersigned shall requ'xe . that the of this certification be <br />:LU13-11 in the avarii 4-oc,=euts for all subw4ards at' all. tiers (including <br />subcontracts. . subgrants, and. contracts vMder grants. loans, and. -cooperative <br />agreements) and that all subreelpients sbaU -,certify and disclose accordimgly. <br />This certification is a material representation of_fact.upou which reliance was <br />placed when -this transaction- vas- made or -entered -juto. � Submission of this <br />,Certification is a -prerequisite for naldmg -,or entering into this transactiouL <br />imposed by -section 1352, title 31, U_ S. Code.- Any person -Y&O - fails to.. file the <br />i:equired certificatiou- shall be subject to -a civil penalty of not less than- <br />�19,000 and not more than M0,000 for each such -failure- <br />Grantee/Cour-ractor Organization Program Title <br />It <br />iia�ie of Certi <br />fying Officer Signature Date <br />EXHIBIT C <br />