ORANGEWOOD CHILDREN’S FOUNDATION 3

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Exhibit D CERTIFICATION REGARDING LOBBYING CERTIFICATION FOR CONTRACTS GRANTS LOANS and COOPERATIVE AGREEMENTS The undersigned certifies, to the best of his or her knowledge and belief, that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, Member Member of Congress i�ficer or employee of Congress, or an employee o connection with the awarding of any Federal contracts, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuatio e loanaor amendment or modification of any Federal contract, grant, cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing tuber of Congregstoan olfficeeornemplcer loyeerof employee of any agency, a Me Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 31 The undersigned shall require that ftheall slanguage bawa ds at all tiers certification included in the award document o agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 U.S.C. 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more that $100,000 for each such failure. Program Title Grantee/Contactor C�ganization L Name of Certifying Official Signature