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LATINO HEALTH ACCESS (2) - 1999
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LATINO HEALTH ACCESS (2) - 1999
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Last modified
1/3/2012 2:45:48 PM
Creation date
5/12/2008 3:08:23 PM
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Contracts
Company Name
Latino Health Access
Contract #
A-1999-127b
Agency
Community Development
Council Approval Date
3/19/2007
Insurance Exp Date
5/20/2000
Destruction Year
2003
Notes
none
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<br />. <br />" <br /> <br />- <br /> <br />- <br /> <br />. <br /> <br />Certification Regarding Lobbying <br /> <br />Certification for Contracts. Grants. Loans. and Coooerative A~reements <br /> <br />The unders igned certifies. to the best of his or her knowledge and belief,' that:,: <br /> <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 eml'loyee of Congress, or an eml'loye of a Member of Congress in connection with <br />the awarding of any Federal contract, the making of any Fede'ral grant, the making <br />of any Federal loan, the entering into of any cooperative agreement, and the <br />extension. continuation, renewa1. amendment. or modi.fication of .a:o.y Federal <br />contract, grant. loan, or cooperati-ve agreement~ <br /> <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 influenee an officer or <br />employee of any agency, a Kember of Congress, an offieer or employee of Congress, <br />or an employee of a Kember of Congress, in eonneetion with this Federal. eontract, <br />grant, loan, or eooperative agreement, the undersigned shall complete and submit <br />Standard Form-U.L, <<Disclosure Form to Report Lob~ying,<< in accor~e nth its <br />instructions. <br /> <br />(3) The undersigned shall require that the language of this certification be <br />included in the award documents for all subawards at all tiers (including <br />subcontracts, subgrants, and contracts under grants, loans, and ,cooperative <br />agreements) and that all subrecipients shall certify and disclose accordingly. <br /> <br />This certification is a material. representation of fact upon Wich reliance was <br />placed wen this transaction was made or entered into. Submission of tliis <br />certification is a prerequisite for m~ldng or entering into this transaction. <br />imposed by' section 135,2, title 31, U.S. Code. Any person wo fails to file the <br />required certification 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 />LAT\!'lO ~ACf1i .,\-~:::, <br />Grantee/Contractor Organization <br /> <br />&n(b~f'f\~r Zo"J-E <br />Program 'Title <br /> <br />~ <br />Name <br /> <br /> <br />ying Officer <br /> <br />~E"-\ ~q-\-0 <br />Signature <br /> <br />L 0 <br /> <br />Dc'-\- Z 2. 100'1 <br />Date <br /> <br />EXHIBIT C <br />
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