Laserfiche WebLink
Certification Regarding Lobbying <br />Certification <br />The undersigned certifies., to the best of his or her knowledge and belief,_- tba't: <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', a--i officer <br />or employee of Congress, or an employe of a "ember 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, continuation,. renewal, amendment, or.. modification of any Federal <br />contract, grant, loan. Or cooperative agreement- <br />(2) If any funds other than Federal appropriated funds. have been pal . d or will <br />be Paid to any Person for influencing or attempting -to influence an officer or <br />employee of any 'agency, a liember of Congress,- au officer or employee of Congress, <br />or an employee of a liember of- Congress. in connection with this Federal coutra:ct, <br />grant, loan, or cooperative agreement, the .uade xsiZne,i shall complet <br />e and submit <br />Standard Form -ELL. 'Disclosure porm to peport Lobbying, m in accordance <br />instructions- with Its <br />(3) Whe undersiZaed shall require. that tb <br />Included in the award documents for all the: of this certification be <br />subcontracts. .-subgrants.- -md.cont subw� at' an. tiers (including <br />racts under grants, loans, and, -coop,6rat1ve <br />agreements) <br />and that an subre--:P:L'euts shall -Qe=dfY � and disclose accordingly. <br />This certification Is a material representation of -fact, uVo-rx.vb5_,nh reliance vas <br />placed when -this transaction- was - made or -entered into. - :Submissionof this <br />certification is a - prerequisite for makimg or entering into this transaction <br />imposed by -section 1352, title 31. 'U_ S. code. - Any person vho . fails to -file the <br />required certificati,,)' <br />u shall be subject to'a civil penalty of not less than- <br />*10,000 and not more than $100,000 for each such -failure- <br />Grantee/contr .actor Organization <br />Name of Cercifying Officer <br />17 <br />Program Title <br />Signature Date <br />EydiTBIT C <br />