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CERTIFICATION REGARDING LOBBYING <br />2 CFR Part 200.450 <br />Certification for Contract, Grants, Loans <br />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 employee of an <br />agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member <br />of Congress in connection with the awarding of any Federal contract, the making of any Federal <br />grant, the making of any Federal loan, the entering into of any cooperative agreement, and the <br />extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, <br />or cooperative agreement. <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 of employee of any agency, a <br />Member of Congress, an officer or employee of Congress, or an employee of a Member of <br />Congress, in connection with this Federal contract, grant, loan, or cooperative agreement, the <br />undersigned shall complete and submit Standard Form -LLL, 'Disclosure Form to Report <br />Lobbying," in accordance with its instructions. <br />(3) The undersigned shall require that the language of this certification be included in <br />the award 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 disclose <br />accordingly. <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 section 1352, title 31, U.S. Code. Any person <br />who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 <br />and not more than $100,000 for each such failure. <br />[PROJECT SPONSOR] <br />Dated: By`:. <br />23 <br />