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EXHIBIT C <br /> CERTIFICATION REGARDING LOBBYING <br /> Certification for Contracts, Grants, Loans and Cooperative Agreements <br /> The undersigned certifies, to the best of his or her knowledge and belief, that: <br /> 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br /> undersigned, to any person for influencing or attempting to influence an officer or <br /> employee of an agency, a Member of Congress, an officer or employee of Congress, or <br /> an employee of a Member of Congress in connection with the awarding of any Federal <br /> contract, the making of any Federal grant, the making of any Federal loan, the entering <br /> into of any cooperative agreement, and the extension, continuation, renewal, <br /> amendment, or modification of any Federal contract, grant, loan or cooperative <br /> agreement. <br /> 2. if any funds other than Federal appropriated funds have been paid or will be paid to any <br /> person for influencing or attempting to influence an officer or employee of any agency, <br /> a Member of Congress, an officer or employee of Congress, or an employee of a <br /> Member of Congress in connection with this Federal contract, grant, loan, or <br /> cooperative agreement, the undersigned shall complete and submit Standard Form LLL <br /> "Disclosure Form to Report Lobbying" in accordance with its instructions. <br /> 3. The undersigned shall require that the language of this certification be included in the award <br /> documents for all subawards at all tiers (including subcontracts, subgrants, and contracts <br /> under grants, loans, and cooperative agreements) and that all subrecipients shall certify and <br /> disclose accordingly. <br /> 4. This certification is a material representation of fact upon which reliance was placed when this <br /> transaction was made or entered into. Submission of this certification is a prerequisite for <br /> making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any <br /> person who fails to file the required certification shall be subject to a civil penalty of not less <br /> than $10,000 and not more than $100,000 for each such failure. <br /> The Subrecipient, as identified below, certifies or affirms the truthfulness and accuracy of <br /> each statement of its certification and disclosure, if any. In addition, the Subrecipient <br /> understands and agrees that the provisions of 31 U.S.C. Chap. 38, Administrative Remedies <br /> for False Claims and Statements, apply to this certification and disclosure, if any. <br /> AGREEMENT NUMBER: — 4y"� <br /> LA-(.t t/AJA- &j&a-1 DJer, <br /> CONTRACTORIBORROW ER/AG ENCY <br /> &PT-& �� � � 11.E S t- T-r- -S <br /> NAME AND TALE OF AUTHORIZED REPRESENTATIVE <br /> n , V�-� I k I ?/� I Z � <br /> SIGNATURE DATE <br /> Exhibit C - Page 1 of 1 <br />