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25K - AGMT - YOUTH PROG OPERATOR
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25K - AGMT - YOUTH PROG OPERATOR
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Last modified
10/17/2012 4:09:31 PM
Creation date
5/31/2012 5:46:38 PM
Metadata
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25K
Date
6/4/2012
Destruction Year
2017
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<br /> <br /> <br /> <br /> <br /> <br /> CERTIFICATION REGARDING LOBBYING <br /> CERTIFICATION FOR CONTRACTS, GRANTS, LOANS <br /> <br /> and COOPERATIVE AGREEMENTS <br /> <br /> <br /> The undersigned 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 behalf of the <br /> undersigned, to any person for influencing or attempting to influence an officer or <br /> employee of any agency, a Member of Congress in connection with the awarding of <br /> 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, <br /> renewal, amendment, or modification of any Federal contract, grant, loan, or <br /> cooperative agreement. <br /> <br /> 2) If any funds other than Federal appropriated funds have been paid or will be paid to <br /> any person for influencing or attempting to influence an officer or employee of any <br /> <br /> agency, a Member of Congress, an officer or employee of Congress, or an employee <br /> of a member of Congress in connection with this Federal contract, grant, loan, or <br /> cooperative agreement, the undersigned shall complete and submit Standard Form- <br /> LLL, "Disclosure Form to Report Lobbying." in accordance with its instructions. <br /> <br /> 3) The undersigned shall require that the language of this certification be included in the <br /> award documents for all subawards at all tiers (including agreements) and that all <br /> subrecipients shall certify and disclose accordingly. <br /> <br /> This certification is a material representation of fact upon which reliance was placed when <br /> this transaction was made or entered into. Submission of this certification is a prerequisite for <br /> making or entering into this transaction imposed by 31 U.S.C. 1352. <br /> Any person who fails to file the required certification shall be subject to a civil penalty of not <br /> less than $10,000 and not more than $100,000 for each such failure occurring on or before <br /> October 23, 1996, and of not less than $11,000 and not more than $110,000 for each such <br /> failure. <br /> <br /> <br /> Grantee/Contractor Organization Program Title <br /> <br /> <br /> Signature <br /> <br /> <br /> Name of Certifying Official Signature <br /> <br /> <br /> EXHIBIT D <br /> <br /> 25K-67 Page 45 of 54 <br />
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