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r <br /> Certification for Contracts Grants Loans and Cooperative <br /> AcTreements <br /> The undersigned certifies, to the best of his or her <br /> knowledge and belief, that: <br /> (1) No Federal appropriated funds have been paid or will be <br /> paid, by or on behalf of the undersigned, to any person for <br /> influencing or attempting to influence an officer or employee <br /> of any agency, a Member of Congress, an officer or employee <br /> of Congress, or an employee of a Member of Congress in <br /> connection with the awarding of any Federal contract, the <br /> making of any Federal grant, the making of any Federal loan, <br /> the entering into of any cooperative agreement, and the <br /> extension, continuation, renewal, amendment, or modification <br /> of any Federal contract, grant, loan, or cooperative <br /> agreement. <br /> (2) If any funds other than Federal appropriated funds have <br /> been paid or will be paid to any person for influencing or <br /> attempting to influence an officer or employee of any agency, <br /> a Member of Congress, an officer or employee of Congress, or <br /> an employee of a Member of Congress in connection with this <br /> Federal contract, grant, loan, or cooperative agreement, the <br /> undersigned shall complete and submit Standard Form-LLL, <br /> "Disclosure.of Lobby Activities, " in accordance with its <br /> instructions. <br /> (3) The undersigned shall require that the language of this <br /> certification be included 'in the award documents for all <br /> subawards at all tiers. (including subcontract, subgrants, and <br /> contracts.:under grants, loans, and cooperative agreements) <br /> An d that -all subrecipients' shall certify anddisclose <br /> accordingly. <br /> This, certification is a materiah representation of fact upon <br /> which reliance was placed -when this.transaction was made or <br /> "entered into.. Submission of this certification is a <br /> prerequisite for,making or enterltlginto this transaction <br /> :imposed by Section 1352, Title 31, ,U.S . Code. Any person who <br /> fails to 'file the required certification shall be subject to <br /> a'civil penalty of. not less than $10,,000 and not more than <br /> $109,000 -for each such failure. - <br /> ..'signe <br /> :d Dated 2 Z <br /> SAnw's Auth6rlzed Representative <br />