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i <br /> I <br /> ATTACHMENT D •-- <br /> NON-LOBBYING CERTIFICATION <br /> The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her <br /> knowledge and belief,that: <br /> (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any <br /> person for influencing or attempting to influence an officer or employee of any Federal agency,a Member <br /> of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection <br /> with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal <br /> loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, <br /> i <br /> amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. <br /> (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for <br /> influencing or attempting to influence an officer or employee of any Federal agency, a Member of <br /> Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection <br /> with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and <br /> submit Standard Form-LLL,"Disclosure of Lobbying Activities," in conformance with its instructions. � <br /> This certification is a material representation of fact upon which reliance was placed when this transaction was <br /> made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction <br /> imposed by Section 1352,Title 31,U.S.Code. Any person who fails to file the required certification shall be subject <br /> to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. <br /> The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that <br /> the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all <br /> such subrecipients shall certify and disclose acc dingl <br /> Y <br /> Signed: /] <br /> Titles• f! V[�'1� -�'�~ <br /> Firm: + G ViJf��rrLrl�t� /lV�JV } <br /> Date: <br /> i <br /> i <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. I <br /> 1 PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />