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<br />. , <br /> <br />'-' <br /> <br />...., <br /> <br />. <br /> <br />Certification Regarding Lobbying <br /> <br />Certification for Contracts. Grants Loans. and Coo~erative A~reements <br /> <br />The undersigned cercifies.. Co elle besc of his or'her knowledge and belief.:thac.: <br /> <br />(1) No Federal appropriated funds have been paid or will be paid, by or on <br />behalf of elle undersigned, co any person for influencing or attemptiDlj; to <br />influence an officer or employee of any agency, a Kember of Congress', an officer <br />or employee of Congress. or an employe of a Iiember of Congress in connection wich <br />che awarding of any Federiil concract, elle maldng of any Federal grant. che making <br />of any Federal loan. che entering into of an:y cooperative agreement. and che <br />extension. continuation. renewal.. am..n.1....nt. or,. modificatiOn of an:y Federal <br />contract. grant. loan. or cooperative agreement. <br /> <br />(2) If any funds ocher than Federal qpropri.ated funds. ha:ve been paid or will <br />be paid to a:ay person for infln......i.,g or 'ateelllpting'to influence 8J1 offi.cer'or. <br />employee of an:y agency"aliember of CoagJ;ess" aJt offi"er or employee of COngress. <br />or an employee of a Kember of'Congress. in coanecti.ou with tilisFederal. con~'t.,' <br />. graut, loan. or ~ve ~. dJe.........'="'i lV'M shall COIIIplete and Submit <br />Standard Form-IlL, -Disclosure Fom. to Report Lob~, - in accordance nth i.ts ' <br />i.nstructions . <br /> <br />(3) 111e under~ shalJ. require. Chat t:he::l.8DgU.age of 1:bis certifica.ti.ou be <br />;.."..ln~ in the aura """'_ts mr all. suhawaDSs at' all.. tiers O:tt<'l~";"'g <br />subcontracts, .suhor-..'~.. and,contracts 1D1der grants, lo8llS, and'-coopera.tive <br />agreements) and Chat ~ ....a.~1ea.ts sbalJ..eet:t1.fy',and "i""l",~ aceorili"'gl:y. ' <br /> <br />nu.s certification i.s a material. represeutetionof,fa.ct.upou Wich reli.ence was <br />p1.&ced .men' this tr8IISaetiou' was' made or'~ 'into.' Submissi.on' of t:lii.s <br />. certification i.s a ,prerequ,isite for ....1ri"'g'or entering into t:his transaction_ <br />imposed by- section 13S~, title 31, U.S. Code.' Any person wO' fails to..file the . <br />required cerCi.ficatiou 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 /> <br />. <br /> <br />51+IJTIl AlVA //~'1I.)f-kAL ~ESOiM7DN Sberf <br /> <br />Grantee/Contractor Organization <br /> <br />\' . ' <br /> <br />LiV'fI(f; 1-!t~Mf II <br /> <br />Program T~tle . <br /> <br /> <br />:J LI E.bsAct <br /> <br /> <br />L <br /> <br /> <br />of Certifying Officer <br /> <br />Date <br /> <br />. <br /> <br />EXHIBIT C <br />